KACY MARIE STANDIFORD PA-C
NPI 1801439161
Physician Assistant in Gibson City, IL

Q: What is Kacy Standiford's NPI number?

The NPI number for Kacy Standiford is 1801439161. It was assigned to this individual provider in the NPPES registry on October 18, 2019.

Q: What is Kacy Standiford's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kacy Standiford was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 October 18, 2019PECOS EnrolledAccepts Medicare Assignment

1120 N MELVIN ST, GIBSON CITY, IL 60936(217) 784-4251 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2021, Aug 31, 2020, Oct 18, 2019 (3 updates tracked since 2019).

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About Kacy Marie Standiford Pa-c NPPES

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

KACY MARIE STANDIFORD PA-C (NPI 1801439161) is an individual physician assistant in Gibson City, Illinois, licensed in Illinois (085007378) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Gibson Community Hospital, and is a graduate of Southern Illinois University School Of Medicine (2019).

NPPES Registry Identity

NPI1801439161

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKACY MARIE STANDIFORDCredential: PA-C

Location Address1120 N MELVIN STGibson City, IL 60936-1477

Mailing Address1120 N Melvin StGibson City, IL 60936-1477 · (217) 784-4251

Phone(217) 784-4251

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2019

Enumeration DateOctober 18, 2019

Last NPPES UpdateFebruary 13, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2026

✔ NPI 1801439161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085007378

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1120 N MELVIN ST, Gibson City, IL 60936

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Other Identifiers 1

Other370647938IL · Molina Number

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

Kacy Marie Standiford Pa-c 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 ID8123452810

PECOS Enrollment IDI20200106002463

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 4

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 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.

63 services52 patients

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.

29 services23 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 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.

28 services27 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

16 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gibson Community Hospital

Critical Access Hospitals · Gibson City, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141317

Location1120 N Melvin StreetGibson City, IL 60936 · Ford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60936 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

MALCOLM TAYLOR ATC

Specialist/Technologist (Athletic Trainer)