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COREY ALEXANDER STACK PA
NPI 1487447538
Physician Assistant in Lockport, NY

Active since May 22, 2025PECOS EnrolledAccepts Medicare Assignment
5801 S TRANSIT RD, LOCKPORT, NY 14094(716) 727-2018 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Corey Alexander Stack Pa NPPES

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

COREY ALEXANDER STACK PA (NPI 1487447538) is an individual physician assistant in Lockport, New York and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1487447538
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCOREY ALEXANDER STACKCredential: PA
Location Address5801 S TRANSIT RDLockport, NY 14094-5811
Mailing Address480 Aberdeen RdLewiston, NY 14092-1023 · (830) 563-7390
Phone(716) 727-2018
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 22, 2025
NPPES CertifiedMay 22, 2025
✔ NPI 1487447538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
5801 S TRANSIT RD, Lockport, NY 14094
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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

Corey Alexander Stack Pa 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 ID1557867348
PECOS Enrollment IDI20251001000822
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14094 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES

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

COURTNEY ELIZABETH DUNN PA
Physician Assistant
5801 S TRANSIT RD
LOCKPORT, NY 14094
Niagara County (716) 280-6589

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 Corey Stack's NPI number?

The NPI number for Corey Stack is 1487447538. It was assigned to this individual provider in the NPPES registry on May 22, 2025.

Where is Corey Stack located?

Corey Stack practices at 5801 S Transit Rd, Lockport, NY 14094. The listed phone number is (716) 727-2018.

What is Corey Stack's specialty?

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

Is Corey Stack enrolled in Medicare?

Yes. Corey Stack 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.

When was this NPI record last updated?

The NPPES record for Corey Stack was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.