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STACY HEATH P.A.
NPI 1639322266
Physician Assistant - Surgical in New York, NY

Active since October 28, 2008PECOS EnrolledAccepts Medicare Assignment
90.76/100
CMS Quality Rating
1190 5TH AVE, BOX 1028, NEW YORK, NY 10029(212) 241-9466(212) 659-1621 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy Heath P.a. NPPES

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

STACY HEATH P.A. (NPI 1639322266) is an individual surgical provider in New York, New York, licensed in New York (011315) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1639322266
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSTACY HEATHCredential: P.A.
Location Address1190 5TH AVE, BOX 1028New York, NY 10029-6503
Mailing Address1275 York AveNew York, NY 10065-6007 · (212) 241-9466 · Fax (212) 659-1521
Phone(212) 241-9466
Fax(212) 659-1621
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 28, 2008
Last NPPES UpdateOctober 21, 2020
NPPES CertifiedOctober 21, 2020
✔ NPI 1639322266 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
License✔ Licensed in NY · 011315
1190 5TH AVE, New York, NY 10029
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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

Stacy Heath P.a. 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 ID3375772445
PECOS Enrollment IDI20140212001792
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 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.

90.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.87
Improvement Activities40

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.

AKOSUA AFUMWAA FRIMPONG
Student in an Organized Health Care Education/Training Program
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 659-6864
OMAR AL DHAYBI M.D.
Internal Medicine (Nephrology)
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 427-1540
PETER FARIES M.D.
Surgery (Vascular Surgery)
1190 5TH AVE, GP1 1ST FLOOR
NEW YORK, NY 10029
New York County (212) 241-5386
SHREYANS PATEL
Internal Medicine (Cardiovascular Disease)
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 427-1540
STAMATIOS LERAKIS MD
Internal Medicine (Cardiovascular Disease)
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 427-1540
DR. ANTHONY JOSEPH SOCHAN MD
Student in an Organized Health Care Education/Training Program
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 241-6500
ANNA GARINO NP
Nurse Practitioner (Acute Care)
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 241-1000
DR. JOSHUA LAMPERT M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 427-1540

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 Stacy Heath's NPI number?

The NPI number for Stacy Heath is 1639322266. It was assigned to this individual provider in the NPPES registry on October 28, 2008.

Where is Stacy Heath located?

Stacy Heath practices at 1190 5th Ave Box 1028, New York, NY 10029. The listed phone number is (212) 241-9466.

What is Stacy Heath's specialty?

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

Is Stacy Heath enrolled in Medicare?

Yes. Stacy Heath 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 Stacy Heath was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.