DR. STACEY GWEN JOHNSON MD
NPI 1700316270
Obstetrics & Gynecology in Columbia, MO

Q: What is Stacey Johnson's NPI number?

The NPI number for Stacey Johnson is 1700316270. It was assigned to this individual provider in the NPPES registry on June 15, 2017. The provider is also known as Dr. Stacey Gwen Schneider MD.

Q: What is Stacey Johnson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Johnson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 15, 2017PECOS EnrolledAccepts Medicare Assignment

402 N KEENE ST, COLUMBIA, MO 65201(573) 499-6084(573) 499-6088 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 16, 2018, Jun 15, 2017 (3 updates tracked since 2017).

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About Dr. Stacey Gwen Johnson Md NPPES

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

DR. STACEY GWEN JOHNSON MD (NPI 1700316270) is an individual obstetrics & gynecology provider in Columbia, Missouri, licensed in Missouri (2017018527) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1700316270

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. STACEY GWEN JOHNSONCredential: MD

Location Address402 N KEENE STColumbia, MO 65201-6986

Mailing Address402 N Keene StColumbia, MO 65201-6986 · (573) 499-6084 · Fax (573) 499-6088

Phone(573) 499-6084

Fax(573) 499-6088

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 15, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1700316270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MO · 2017018527

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

402 N KEENE ST, Columbia, MO 65201

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Other Names 1

Former Name (1)Dr. Stacey Gwen Schneider Md

Other Identifiers 1

Other2500041069MO · Missouri License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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. Stacey Gwen Johnson 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 ID840562112

PECOS Enrollment IDI20210719002951

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65201 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

Most-billed visit code 99213

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.

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