STACY A UPSHAW M.D.
NPI 1710998018
Emergency Medicine in Lucedale, MS

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
79.03/100
CMS Quality Rating
859 WINTER ST, LUCEDALE, MS 39452(601) 947-3161(601) 947-9948 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stacy A Upshaw M.d. NPPES

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

STACY A UPSHAW M.D. (NPI 1710998018) is an individual emergency medicine provider in Lucedale, Mississippi, licensed in Mississippi (18212) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (1993).

NPPES Registry Identity

NPI1710998018
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSTACY A UPSHAWCredential: M.D.
Location Address859 WINTER STLucedale, MS 39452-6603
Mailing Address859 Winter StLucedale, MS 39452-6603 · (601) 947-3161 · Fax (601) 947-9948
Fax(601) 947-9948
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 1993
Enumeration DateAugust 11, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1710998018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MS · 18212
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

859 WINTER ST, Lucedale, MS 39452

Other Identifiers 3

Medicaid0125729MS
Other9935004AL · Alabama Medicaid
Medicare UPINF77711MS

Accepted 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

Stacy A Upshaw 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 ID4587637475
PECOS Enrollment IDI20050223000467
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 9

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.

Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
51 services50 patients
Emergency department visit for problem of high severity 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
44 services44 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
39 services39 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
34 services17 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
32 services32 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
31 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39452 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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.

79.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.69
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.

General Acute Care Hospital (Rural)
859 WINTER ST
LUCEDALE, MS 39452
Medicare Defined Swing Bed Unit
859 WINTER ST
LUCEDALE, MS 39452
General Acute Care Hospital (Rural)
859 WINTER ST
LUCEDALE, MS 39452
General Acute Care Hospital (Rural)
859 WINTER ST
LUCEDALE, MS 39452
Internal Medicine
859 WINTER ST
LUCEDALE, MS 39452
Radiology (Diagnostic Radiology)
859 WINTER ST
LUCEDALE, MS 39452
Nurse Anesthetist, Certified Registered
859 WINTER ST
LUCEDALE, MS 39452
Nurse Anesthetist, Certified Registered
859 WINTER ST
LUCEDALE, MS 39452

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 Upshaw's NPI number?

The NPI number for Stacy Upshaw is 1710998018. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Stacy Upshaw located?

Stacy Upshaw practices at 859 Winter St, Lucedale, MS 39452. The listed phone number is (601) 947-3161.

What is Stacy Upshaw's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Stacy Upshaw enrolled in Medicare?

Yes. Stacy Upshaw 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.

What insurance does Stacy Upshaw accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Stacy Upshaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacy Upshaw was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.