STACY PAYNE ARDOIN MD
NPI 1417971086
Pediatrics - Pediatric Rheumatology in Columbus, OH

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
555 S 18TH ST, COLUMBUS, OH 43205(614) 722-2000 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 18, 2026, Feb 22, 2022, Feb 10, 2020 and 1 more (4 updates tracked since 2016).

About Stacy Payne Ardoin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY PAYNE ARDOIN MD (NPI 1417971086) is an individual pediatric rheumatology provider in Columbus, Ohio, licensed in Ohio (35075002) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Nationwide Children's Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1417971086
Entity TypeIndividualFemale
Primary Taxonomy2080P0216X
Provider Legal NameSTACY PAYNE ARDOINCredential: MD
Location Address555 S 18TH STColumbus, OH 43205-2654
Mailing Address700 Childrens DrColumbus, OH 43205-2664 · (614) 722-2000
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1997
Enumeration DateJuly 27, 2006
Last NPPES UpdateAugust 18, 20264 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1417971086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0216X
License✔ Licensed in OH · 35075002
Definition
A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X · License 35075002 (OH)
555 S 18TH ST, Columbus, OH 43205

Secondary Practice Locations 3

Location 1700 Ackerman Rd Ste 385, (PAA leased to OSU)Columbus, OH 43202-1524 · Phone (614) 947-3700
Location 2405 Butterfly Gardens DrColumbus, OH 43215-4985 · Phone (614) 722-6200
Location 35675 Venture DrDublin, OH 43017-2159 · Phone (614) 722-6200

Other Identifiers 3

OtherH138151-OSUOH · Cgs - Medicare
OtherH138151OH · Cgs - Medicare
Medicaid2246608OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stacy Payne Ardoin Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385641430
PECOS Enrollment IDI20090319000478
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Stacy Ardoin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 976 clinicians in this Medicare group
Pediatrics
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 1,246 clinicians in this Medicare group
Internal Medicine
410 W 10TH AVE
Columbus, OH 43210
  • Reassigned Medicare billing, Ohio enrollment
  • 1,230 clinicians in this Medicare group
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
73 services39 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nationwide Children's Hospital

Childrens · Columbus, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number363305
Location700 Children's DriveColumbus, OH 43205 · Franklin County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
555 S 18TH ST
COLUMBUS, OH 43205
Pediatrics (Pediatric Pulmonology)
555 S 18TH ST
COLUMBUS, OH 43205
Pediatrics (Pediatric Nephrology)
555 S 18TH ST
COLUMBUS, OH 43205
Pediatrics (Pediatric Gastroenterology)
555 S 18TH ST
COLUMBUS, OH 43205
Pediatrics (Neurodevelopmental Disabilities)
555 S 18TH ST
COLUMBUS, OH 43205
Pediatrics
555 S 18TH ST
COLUMBUS, OH 43205
Nurse Practitioner (Family)
555 S 18TH ST
COLUMBUS, OH 43205
Nurse Practitioner (Pediatrics)
555 S 18TH ST
COLUMBUS, OH 43205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Ardoin's NPI number?

The NPI number for Stacy Ardoin is 1417971086. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Stacy Ardoin located?

Stacy Ardoin practices at 555 S 18th St, Columbus, OH 43205. The listed phone number is (614) 722-2000.

What is Stacy Ardoin's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.

Is Stacy Ardoin enrolled in Medicare?

Yes. Stacy Ardoin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Stacy Ardoin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Ardoin reassigns Medicare benefits to 4 organizations: Nationwide Children's Hospital (Columbus, OH), Pediatric Academic Association, Inc. (Columbus, OH), Osu Internal Medicine, LLC (Columbus, OH) and University Hospitals Medical Group Inc (Cleveland, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacy Ardoin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Ardoin accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, Molina Healthcare and UnitedHealthcare list Stacy Ardoin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stacy Ardoin affiliated with any hospitals?

According to CMS data, Stacy Ardoin is affiliated with Nationwide Children's Hospital.

When was this NPI record last updated?

The NPPES record for Stacy Ardoin was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.