STACEY JOHNSON MD
NPI 1851328900
Family Medicine in Cornettsville, KY

Active since June 26, 2006PECOS Enrolled
464 KY HIGHWAY 699, CORNETTSVILLE, KY 41731(606) 476-2593(606) 476-2347 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stacey Johnson Md NPPES

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

STACEY JOHNSON MD (NPI 1851328900) is an individual family medicine provider in Cornettsville, Kentucky, licensed in Kentucky (38781) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851328900
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSTACEY JOHNSONCredential: MD
Location Address464 KY HIGHWAY 699Cornettsville, KY 41731
Mailing AddressPo Box 40Whitesburg, KY 41858 · (606) 633-4823 · Fax (606) 633-1874
Fax(606) 476-2347
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1851328900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 38781
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.
464 KY HIGHWAY 699, Cornettsville, KY 41731

Other Names 1

Former Name (1)Stacey Campbell

Other Identifiers 3

Medicare UPINH96651
Medicare ID-Type Unspecified0290614KY
Medicaid64881600KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Johnson 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.

Medicare Billing Reassignment

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

Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group

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 41731 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 11

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

Physical Therapist
464 KY HIGHWAY 699
CORNETTSVILLE, KY 41731
Physical Therapist
464 KY HIGHWAY 699
CORNETTSVILLE, KY 41731
Physician Assistant
464 KY HIGHWAY 699
CORNETTSVILLE, KY 41731
Nurse Practitioner (Psychiatric/Mental Health)
464 KY HIGHWAY 699
CORNETTSVILLE, KY 41731
Clinic/Center (Primary Care)
464 KY HIGHWAY 699
CORNETTSVILLE, KY 41731
Pharmacy (Community/Retail Pharmacy)
464 KY HIGHWAY 699
CORNETTSVILLE, KY 41731
Social Worker (Clinical)
464 KY HIGHWAY 699
CORNETTSVILLE, KY 41731
Counselor (Professional)
464 KY HIGHWAY 699
CORNETTSVILLE, KY 41731

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 Stacey Johnson's NPI number?

The NPI number for Stacey Johnson is 1851328900. It was assigned to this individual provider in the NPPES registry on June 26, 2006. The provider is also known as Stacey Campbell.

Where is Stacey Johnson located?

Stacey Johnson practices at 464 Ky Highway 699, Cornettsville, KY 41731. The listed phone number is (606) 476-2593.

What is Stacey Johnson's specialty?

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

Is Stacey Johnson enrolled in Medicare?

Yes. Stacey Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacey Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Johnson reassigns Medicare benefits to Kentucky Medical Services Foundation, Inc (Lexington, KY). 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 Stacey Johnson'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 Stacey Johnson was last updated on July 8, 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.