DR. STACY D CONVILLE MD - NPI 1497702880 - Family Medicine in Ruston, LA

Q: What is Stacy Conville's NPI number?

The NPI number for Stacy Conville is 1497702880. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Q: What is Stacy Conville's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Conville was last updated on March 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Stacy D Conville Md NPPES

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

DR. STACY D CONVILLE MD (NPI 1497702880) is an individual family medicine provider in Ruston, Louisiana, licensed in Louisiana (026106) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1497702880

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. STACY D CONVILLECredential: MD

Location Address902 S VIENNA STRuston, LA 71270-5830

Mailing Address902 S Vienna StRuston, LA 71270-5830 · (318) 551-4355 · Fax (318) 551-4335

Phone(318) 551-4311

Fax(318) 551-4355

Sole ProprietorYes

Medical School CMSOtherGraduated 2002

Enumeration DateMay 30, 2006

Last NPPES UpdateMarch 2, 2026

NPPES CertifiedMarch 2, 2026

✔ NPI 1497702880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in LA · 026106

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

902 S VIENNA ST, Ruston, LA 71270

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Other Identifiers 1

Medicaid1052931LA

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

Dr. Stacy D Conville 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 ID9537186069

PECOS Enrollment IDI20051025000079

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 71270 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

Most-billed visit code 99214

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 5

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

ADALA HEALTH, LLC

Family Medicine