STACY PORTER MD
NPI 1659647386
Internal Medicine in Menlo Park, CA

Active since March 27, 2012PECOS EnrolledAccepts Medicare Assignment
1300 CRANE ST, MENLO PARK, CA 94025(650) 498-7080(650) 324-6279 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy Porter Md NPPES

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

STACY PORTER MD (NPI 1659647386) is an individual internal medicine provider in Menlo Park, California, licensed in California (A126790) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (2012).

NPPES Registry Identity

NPI1659647386
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSTACY PORTERCredential: MD
Location Address1300 CRANE STMenlo Park, CA 94025-4260
Mailing Address1300 Crane StMenlo Park, CA 94025-4260 · (650) 498-7080 · Fax (650) 324-6279
Fax(650) 324-6279
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2012
Enumeration DateMarch 27, 2012
Last NPPES UpdateAugust 15, 2025
NPPES CertifiedAugust 15, 2025
NPI 1659647386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A126790
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.
1300 CRANE ST, Menlo Park, CA 94025

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 Porter 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 ID1850692286
PECOS Enrollment IDI20151209000834
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 94025 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 20

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

Dietitian, Registered
1300 CRANE ST
MENLO PARK, CA 94025
Pediatrics
1300 CRANE ST
MENLO PARK, CA 94025
Internal Medicine
1300 CRANE ST
MENLO PARK, CA 94025
Radiology (Diagnostic Radiology)
1300 CRANE ST
MENLO PARK, CA 94025
Internal Medicine
1300 CRANE ST
MENLO PARK, CA 94025
Preventive Medicine (Public Health & General Preventive Medicine)
1300 CRANE ST
MENLO PARK, CA 94025
Internal Medicine
1300 CRANE ST
MENLO PARK, CA 94025
Internal Medicine
1300 CRANE ST
MENLO PARK, CA 94025

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 Porter's NPI number?

The NPI number for Stacy Porter is 1659647386. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Where is Stacy Porter located?

Stacy Porter practices at 1300 Crane St, Menlo Park, CA 94025. The listed phone number is (650) 498-7080.

What is Stacy Porter's specialty?

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

Is Stacy Porter enrolled in Medicare?

Yes. Stacy Porter 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 Porter was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.