STACY ANDERSEN M.D.
NPI 1619183415
Internal Medicine in State College, PA

Q: What is Stacy Andersen's NPI number?

The NPI number for Stacy Andersen is 1619183415. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Q: What is Stacy Andersen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Andersen was last updated on August 10, 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.

Active since May 16, 2007PECOS EnrolledAccepts Medicare Assignment

200 SCENERY DR, STATE COLLEGE, PA 16801(814) 231-4560(814) 231-6246 Get Directions Write a Review

NPPES record last updated: August 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Stacy Andersen M.d. NPPES

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

STACY ANDERSEN M.D. (NPI 1619183415) is an individual internal medicine provider in State College, Pennsylvania, licensed in Pennsylvania (MT188399) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Loma Linda University School Of Medicine (2006).

NPPES Registry Identity

NPI1619183415

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSTACY ANDERSENCredential: M.D.

Location Address200 SCENERY DRState College, PA 16801-7974

Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578

Phone(814) 231-4560

Fax(814) 231-6246

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2006

Enumeration DateMay 16, 2007

Last NPPES UpdateAugust 10, 2020

NPPES CertifiedAugust 10, 2020

✔ NPI 1619183415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MT188399

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License MT188399 (PA)

200 SCENERY DR, State College, PA 16801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 Andersen M.d. 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 ID4082884358

PECOS Enrollment IDI20110823000849

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 Reassignment

Medicare enrollment records show Stacy Andersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Geisinger Clinic

Same address

Internal Medicine

200 SCENERY DR
State College, PA 16801

Reassigned Medicare billing, Pennsylvania enrollment
4,429 clinicians in this Medicare group

NPI 1093767915 (814) 231-4560

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 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

182 services89 patients

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.

149 services119 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

82 services44 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

78 services12 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

58 services53 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

55 services40 patients

Hospital Affiliations CMS Care Compare 5

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390006

Location100 North Academy AvenueDanville, PA 17822 · Montour County

Emergency services Birthing friendly

Geisinger-Lewistown Hospital

Acute Care Hospitals · Lewistown, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390048

Location400 Highland AvenueLewistown, PA 17044 · Mifflin County

Emergency services Birthing friendly

Upmc Altoona

Acute Care Hospitals · Altoona, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390073

Location620 Howard AvenueAltoona, PA 16601 · Blair County

Emergency services Birthing friendly

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390086

Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390268

Location1800 East Park AveState College, PA 16803 · Centre County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16801 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers23 claims2,070 services$0.33 avg. paid by Medicare

Cyclosporine, oral, 25 mg J7515

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers18 claims1,980 services$0.59 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers24 claims2,880 services$0.19 avg. paid by Medicare

Sirolimus, oral, 1 mg J7520

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier12 claims420 services$2.58 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

4 suppliers41 claims41 services$18.50 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

4 suppliers41 claims41 services$12.63 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CIERA CUMMING

Pharmacist