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

Q: 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.

Q: What is Stacy Upshaw's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacy Upshaw was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 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: November 01, 2026.

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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

Phone(601) 947-3161

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

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Other Identifiers 3

Medicaid0125729MS

Other9935004AL · Alabama Medicaid

Medicare UPINF77711MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Stacy Upshaw reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

George County Hospital

Same address

Rural

859 WINTER ST
Lucedale, MS 39452

Reassigned Medicare billing, Mississippi enrollment
17 clinicians in this Medicare group

NPI 1023074028 (601) 947-3161

Greater Mobile Urgent Care

24 mi

Family Medicine

7943 MOFFETT RD
Semmes, AL 36575

Reassigned Medicare billing, Alabama enrollment
92 clinicians in this Medicare group

NPI 1275848095 (251) 633-0123

Gmuc Of Citronelle LLC

24 mi

Family Medicine

19355 N 3RD ST, SUITE 104
Citronelle, AL 36522

Reassigned Medicare billing, Alabama enrollment
59 clinicians in this Medicare group

NPI 1164794343 (251) 633-0123

Gmuc Of Saraland

30 mi

Family Medicine

1114 SHELTON BEACH RD
Saraland, AL 36571

Reassigned Medicare billing, Alabama enrollment
54 clinicians in this Medicare group

NPI 1396161758 (251) 633-0123

Gmuc Of Springhill LLC

31 mi

Family Medicine

4402 OLD SHELL RD
Mobile, AL 36608

Reassigned Medicare billing, Alabama enrollment
90 clinicians in this Medicare group

NPI 1952617508 (251) 633-0123

Harrison Emergency Group LLC

40 mi

Emergency Medicine

150 REYNOIR ST
Biloxi, MS 39530

Reassigned Medicare billing, Mississippi enrollment
27 clinicians in this Medicare group

NPI 1467410936 (800) 893-9698

App Of Mississippi Ed, LLC

136 mi

Emergency Medicine

1850 CHADWICK DR
Jackson, MS 39204

Reassigned Medicare billing, Mississippi enrollment
187 clinicians in this Medicare group

NPI 1730687740 (629) 203-7320

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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 moderate level of decision making, if using time, 30 minutes or more 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.

113 services108 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.

104 services50 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

89 services15 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.

64 services62 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

32 services29 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

32 services31 patients

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.

31 services31 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

28 services26 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

28 services27 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

26 services26 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

21 services21 patients

Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U

This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.

13 services13 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

Quality

69.69

Improvement Activities

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.

MR. RHETT SCOTT CRNA

Nurse Anesthetist, Certified Registered