DR. STACEY S TULL MD
NPI 1467407239
Dermatology in Cottleville, MO
About Dr. Stacey S Tull Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STACEY S TULL MD (NPI 1467407239) is an individual dermatology provider in Cottleville, Missouri, licensed in Missouri (2000153517) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (1997).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Stacey S Tull 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.
Medicare Billing Reassignment
Medicare enrollment records show Stacey Tull reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63122
- Reassigned Medicare billing, Missouri enrollment
- 18 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 11
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63376 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
COTTLEVILLE, MO 63376
SAINT PETERS, MO 63376
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 Tull's NPI number?
The NPI number for Stacey Tull is 1467407239. It was assigned to this individual provider in the NPPES registry on May 23, 2006.
Where is Stacey Tull located?
Stacey Tull practices at 1493 Cottleville Pkwy, Cottleville, MO 63376. The listed phone number is (636) 317-3376.
What is Stacey Tull's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Stacey Tull enrolled in Medicare?
Yes. Stacey Tull 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 organization bills Medicare for Stacey Tull's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Tull reassigns Medicare benefits to Epiphany Dermatology Of Missouri, LLC (Saint Louis, MO). The 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 Stacey Tull's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey Tull accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Stacey Tull 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.
When was this NPI record last updated?
The NPPES record for Stacey Tull was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Stacey S Tull, MD · NPI 1467407239
Dermatology physician in Cottleville, Missouri. Individual provider, active in the CMS NPPES registry since May 23, 2006.
## Identity
- **NPI:** 1467407239 (Entity type: Individual)
- **Enumerated:** May 23, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 2000153517 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1493 COTTLEVILLE PKWY, Cottleville, MO 63376-3564
- **Phone:** (636) 317-3376 · **Fax:** (636) 244-1197
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Epiphany Dermatology Of Missouri, LLC (NPI 1528573342, Saint Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Duke University School Of Medicine, class of 1997
## Record status
- **NPPES last updated:** February 19, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1467407239) · Data from the CMS NPPES public registry.