1. Home
  2. Directory
  3. California
  4. Woodland
  5. Family Medicine
  6. NPI Profile

DR. STACY J BERRONG DO
NPI 1760407787
Family Medicine in Woodland, CA

Active since July 12, 2006PECOS Enrolled
632 W GIBSON RD, WOODLAND, CA 95695(530) 666-1631(530) 668-2697 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Stacy J Berrong Do NPPES

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

DR. STACY J BERRONG DO (NPI 1760407787) is an individual family medicine provider in Woodland, California, licensed in California (20A8432) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760407787
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. STACY J BERRONGCredential: DO
Location Address632 W GIBSON RDWoodland, CA 95695
Mailing Address3400 Data Dr 1stRancho Cordova, CA 95670-7956 · (916) 379-2861 · Fax (916) 858-3205
Phone(530) 666-1631
Fax(530) 668-2697
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateNovember 18, 2015
✔ NPI 1760407787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A8432
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 20A8432 (CA)
632 W GIBSON RD, Woodland, CA 95695
Open in Google Maps ↗

Other Identifiers 6

Other020A84320CA · Blue Shield
Medicare ID-Type Unspecified020A87321CA
OtherP00745159CA · Medicare Railroad
Medicare PINDG148ZCA
Medicare UPINI09711
Medicaid00AX84320CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stacy J Berrong Do 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.

Medicare Billing Reassignment

Medicare enrollment records show Stacy Berrong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northern Valley Indian Health Inc
1.5 mi
Clinic/Center
175 W COURT ST
Woodland, CA 95695
  • Reassigned Medicare billing, Texas enrollment
  • 89 clinicians in this Medicare group
NPI 1881960128 (530) 934-9293

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95695 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers19 claims43 services$6.01 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers18 claims21 services$1.02 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers17 claims17 services$37.73 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$11.11 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$51.65 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$27.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

NEEHARIKA THOTTEMPUDI MBBS
Psychiatry & Neurology (Neurology)
632 W GIBSON RD
WOODLAND, CA 95695
Yolo County (530) 668-2600
SABA SAJID
Family Medicine
632 W GIBSON RD
WOODLAND, CA 95695
Yolo County (530) 668-2600
DR. GEORGE T WONG JR. MD
Obstetrics & Gynecology
632 W GIBSON RD
WOODLAND, CA 95695
Yolo County (530) 666-1631
CARLOS E RODRIGUEZ CASTRO MD
Hospitalist
632 W GIBSON RD
WOODLAND, CA 95695
Yolo County (530) 668-2600
OFILI OKOLONWAMU N.P., PA-C
Physician Assistant
632 W GIBSON RD
WOODLAND, CA 95695
Yolo County (530) 668-2600
LORETTA R WINN PA-C
Physician Assistant
632 W GIBSON RD
WOODLAND, CA 95695
Yolo County (530) 668-2600
MAN LUNG WU AGPCNP-BC
Nurse Practitioner
632 W GIBSON RD
WOODLAND, CA 95695
Yolo County (530) 668-2652
DIGNITY HEALTH
Pharmacy (Community/Retail Pharmacy)
632 W GIBSON RD
WOODLAND, CA 95695
Yolo County (530) 668-2646

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 Berrong's NPI number?

The NPI number for Stacy Berrong is 1760407787. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Stacy Berrong located?

Stacy Berrong practices at 632 W Gibson Rd, Woodland, CA 95695. The listed phone number is (530) 666-1631.

What is Stacy Berrong's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stacy Berrong enrolled in Medicare?

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

Which organization bills Medicare for Stacy Berrong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Berrong reassigns Medicare benefits to Northern Valley Indian Health Inc (Woodland, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacy Berrong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stacy Berrong was last updated on November 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.