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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STACY PLOOM MD
NPI 1750136966
Radiology - Diagnostic Radiology in Cleveland, OH

Active since April 22, 2024PECOS Enrolled
9500 EUCLID AVE # JJ24, CLEVELAND, OH 44195(216) 444-2200 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2026, Jun 22, 2024, Apr 24, 2024 (3 updates tracked since 2024).

About Stacy Ploom Md NPPES

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

STACY PLOOM MD (NPI 1750136966) is an individual diagnostic radiology provider in Cleveland, Ohio, licensed in Ohio (57.261137) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tucson.

NPPES Registry Identity

NPI1750136966
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameSTACY PLOOMCredential: MD
Location Address9500 EUCLID AVE # JJ24Cleveland, OH 44195-0002
Mailing Address9500 Euclid Ave # Jj24Cleveland, OH 44195-0002
Phone(216) 444-2200
Sole ProprietorYes
Enumeration DateApril 22, 2024
Last NPPES UpdateJune 29, 20263 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1750136966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in OH · 57.261137
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedInternal MedicineTaxonomy 207R00000X · License R80826 (AZ)
9500 EUCLID AVE # JJ24, Cleveland, OH 44195
Open in Google Maps ↗

Secondary Practice Location 1

Location 17901 E 22nd StTucson, AZ 85710-8509 · Phone (520) 694-8888 · Fax (520) 694-8466

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Ploom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 44195 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

DR. BRANDY LEE SWEENEY DO
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
CHRISTOPHER JAMHOUR MD
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
DR. RILEY LYNN WILKINSON MD
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
DR. GUIDO ASCIONE MD
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
REBECCA LYNN PHILLIPS MD
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
MR. CARL BOULOS M.D.
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
ALISON JIN
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
TATINI MAL-SARKAR
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200

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 Ploom's NPI number?

The NPI number for Stacy Ploom is 1750136966. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Stacy Ploom located?

Stacy Ploom practices at 9500 Euclid Ave # Jj24, Cleveland, OH 44195. The listed phone number is (216) 444-2200.

What is Stacy Ploom's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Stacy Ploom enrolled in Medicare?

Yes. Stacy Ploom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacy Ploom was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.