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MS. STACEY LAVON ROTZ PA-C
NPI 1437339702
Physician Assistant in Harrisburg, PA

Active since November 05, 2007PECOS EnrolledAccepts Medicare Assignment
82.54/100
CMS Quality Rating
805 SIR THOMAS CT FL 1, HARRISBURG, PA 17109(717) 988-0020(717) 703-5746 Get Directions Write a Review

NPPES record last updated: January 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 30, 2021, Jun 26, 2020, Oct 24, 2019 and 3 more (6 updates tracked since 2016).

About Ms. Stacey Lavon Rotz Pa-c NPPES

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

MS. STACEY LAVON ROTZ PA-C (NPI 1437339702) is an individual physician assistant in Harrisburg, Pennsylvania, licensed in Pennsylvania (MA053270) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1437339702
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. STACEY LAVON ROTZCredential: PA-C
Location Address805 SIR THOMAS CT FL 1Harrisburg, PA 17109-4839
Mailing Address805 Sir Thomas Ct Fl 1Harrisburg, PA 17109-4839 · (717) 988-0020 · Fax (717) 703-5746
Phone(717) 988-0020
Fax(717) 703-5746
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 5, 2007
Last NPPES UpdateJanuary 30, 20216 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2021
✔ NPI 1437339702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA053270
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
805 SIR THOMAS CT FL 1, Harrisburg, PA 17109
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Other Identifiers 1

Medicaid103176510PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Stacey Lavon Rotz Pa-c 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 ID9638267966
PECOS Enrollment IDI20071120000067
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.

Areas of Expertise CMS Part B claims 9

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.
298 services138 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
168 services94 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
66 services13 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
66 services13 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
64 services64 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.
29 services27 patients

Hospital Affiliations CMS Care Compare

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

82.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

Other Providers at the Same Location NPPES 2

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

MRS. TONYA BETH PUTT CRNP
Nurse Practitioner (Family)
805 SIR THOMAS CT FL 1
HARRISBURG, PA 17109
Dauphin County (717) 988-0020
DR. MARY C DAVIES MD
Internal Medicine
805 SIR THOMAS CT FL 1
HARRISBURG, PA 17109
Dauphin County (717) 988-0020

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 Stacey Rotz's NPI number?

The NPI number for Stacey Rotz is 1437339702. It was assigned to this individual provider in the NPPES registry on November 5, 2007.

Where is Stacey Rotz located?

Stacey Rotz practices at 805 Sir Thomas Ct Fl 1, Harrisburg, PA 17109. The listed phone number is (717) 988-0020.

What is Stacey Rotz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stacey Rotz enrolled in Medicare?

Yes. Stacey Rotz 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.

Is Stacey Rotz affiliated with any hospitals?

According to CMS data, Stacey Rotz is affiliated with Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Stacey Rotz was last updated on January 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.