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STACIE DYAN ANDERSON DPM
NPI 1790079812
Podiatrist - Foot & Ankle Surgery in Parma, OH

Active since June 06, 2011PECOS EnrolledAccepts Medicare Assignment
5625 RIDGE RD, PARMA, OH 44129(440) 884-4100(440) 884-4742 Get Directions Write a Review

NPPES record last updated: June 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacie Dyan Anderson Dpm NPPES

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

STACIE DYAN ANDERSON DPM (NPI 1790079812) is an individual foot & ankle surgery provider in Parma, Ohio, licensed in Ohio (36.003622) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (2009).

NPPES Registry Identity

NPI1790079812
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameSTACIE DYAN ANDERSONCredential: DPM
Location Address5625 RIDGE RDParma, OH 44129-2633
Mailing Address5625 Ridge RdParma, OH 44129-2633 · (440) 884-4100 · Fax (440) 884-4742
Phone(440) 884-4100
Fax(440) 884-4742
Sole ProprietorYes
Medical School CMSKent State University College Of Podiatric MedicineGraduated 2009
Enumeration DateJune 6, 2011
Last NPPES UpdateJune 6, 2012
✔ NPI 1790079812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in OH · 36.003622
5625 RIDGE RD, Parma, OH 44129
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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

Stacie Dyan Anderson Dpm 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 ID7315102167
PECOS Enrollment IDI20120629000405
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 11

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
1,287 services385 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
107 services70 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.
82 services63 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
53 services53 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
34 services25 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
27 services12 patients

Referred Medical Equipment & Supplies CMS DME claims 2

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
3 suppliers19 claims38 services$61.23 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
2 suppliers15 claims90 services$24.89 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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS J DEPOLO D.P.M.
Podiatrist
5625 RIDGE RD
PARMA, OH 44129
Cuyahoga County (440) 884-4100
JEFFREY A HALPERT DPM
Podiatrist
5625 RIDGE RD
PARMA, OH 44129
Cuyahoga County (440) 884-4100
JEFFREY A. HALPERT DPM, LLC
Podiatrist
5625 RIDGE RD
PARMA, OH 44129
Cuyahoga County (440) 884-4100
DR. JOHN ROBERT TADDEO D.P.M.
Podiatrist (Foot & Ankle Surgery)
5625 RIDGE RD
PARMA, OH 44129
Cuyahoga County (440) 884-4100

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 Stacie Anderson's NPI number?

The NPI number for Stacie Anderson is 1790079812. It was assigned to this individual provider in the NPPES registry on June 6, 2011.

Where is Stacie Anderson located?

Stacie Anderson practices at 5625 Ridge Rd, Parma, OH 44129. The listed phone number is (440) 884-4100.

What is Stacie Anderson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Stacie Anderson enrolled in Medicare?

Yes. Stacie Anderson 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 Stacie Anderson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Stacie Anderson 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 Stacie Anderson was last updated on June 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.