STACEY MCILROY P.A.-C.
NPI 1639155740
Physician Assistant - Surgical in Newport Beach, CA

Active since December 20, 2005PECOS EnrolledAccepts Medicare Assignment
85.71/100
CMS Quality Rating
22 CORPORATE PLAZA DR, NEWPORT BEACH, CA 92660(949) 722-7038(949) 630-4900 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Dec 13, 2016 (2 updates tracked since 2016).

About Stacey Mcilroy P.a.-c. NPPES

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

STACEY MCILROY P.A.-C. (NPI 1639155740) is an individual surgical provider in Newport Beach, California, licensed in California (53563) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1639155740
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSTACEY MCILROYCredential: P.A.-C.
Location Address22 CORPORATE PLAZA DRNewport Beach, CA 92660-7985
Mailing Address22 Corporate Plaza Dr.Newport Beach, CA 92660 · (949) 722-5017 · Fax (949) 432-3354
Fax(949) 630-4900
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 20, 2005
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1639155740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses Licensed in CA · 53563 Licensed in AZ · 2272
22 CORPORATE PLAZA DR, Newport Beach, CA 92660

Other Names 1

Other Name (5)Stacey Angulo

Other Identifiers 3

Medicaid486549AZ
OtherP00021617AZ · Railroad Medicare
Other86080015085259C297AZ · Triwest

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

Stacey Mcilroy P.a.-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 ID2365483476
PECOS Enrollment IDI20170817004095
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

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.

Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
19 services19 patients

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.

85.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.67
Promoting Interoperability100
Improvement Activities40
Cost61.47

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.

Specialist/Technologist (Athletic Trainer)
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Internal Medicine (Sports Medicine)
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Durable Medical Equipment & Medical Supplies
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Physician Assistant (Medical)
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Physician Assistant
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Physician Assistant (Medical)
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Orthopaedic Surgery
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660
Orthopaedic Surgery (Sports Medicine)
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660

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 Mcilroy's NPI number?

The NPI number for Stacey Mcilroy is 1639155740. It was assigned to this individual provider in the NPPES registry on December 20, 2005. The provider is also known as Stacey Angulo.

Where is Stacey Mcilroy located?

Stacey Mcilroy practices at 22 Corporate Plaza Dr, Newport Beach, CA 92660. The listed phone number is (949) 722-7038.

What is Stacey Mcilroy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Stacey Mcilroy enrolled in Medicare?

Yes. Stacey Mcilroy 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 Stacey Mcilroy was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.