STACEY PUN MD
NPI 1851763783
Pathology - Dermatopathology in Los Angeles, CA

Active since October 30, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1127 WILSHIRE BLVD STE 600, LOS ANGELES, CA 90017(213) 278-0021(213) 278-0973 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2023, Dec 3, 2021, Jul 2, 2021 and 1 more (4 updates tracked since 2017).

About Stacey Pun Md NPPES

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

STACEY PUN MD (NPI 1851763783) is an individual dermatopathology provider in Los Angeles, California, licensed in California (A160550) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of University Of Southern California Keck School Of Medicine (2017).

NPPES Registry Identity

NPI1851763783
Entity TypeIndividualFemale
Primary Taxonomy207ZD0900X
Provider Legal NameSTACEY PUNCredential: MD
Location Address1127 WILSHIRE BLVD STE 600Los Angeles, CA 90017-3907
Mailing Address6399 San Ignacio Ave Ste 120San Jose, CA 95119-1215 · (310) 909-4728 · Fax (408) 904-7730
Fax(213) 278-0973
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2017
Enumeration DateOctober 30, 2015
Last NPPES UpdateOctober 9, 20234 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
NPI 1851763783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZD0900X
License Licensed in CA · A160550
Definition
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.
Also ListedDermatologyTaxonomy 207N00000X · License A160550 (CA)
1127 WILSHIRE BLVD STE 600, Los Angeles, CA 90017

Secondary Practice Locations 7

Location 11165 N Euclid StAnaheim, CA 92801-1938 · Phone (714) 991-9900 · Fax (714) 991-9496
Location 2701 E 28th St Ste 311Long Beach, CA 90806-2780 · Phone (562) 595-4777 · Fax (562) 424-9644
Location 31360 W 6th St Ste 370San Pedro, CA 90732-3527 · Phone (310) 519-8890 · Fax (310) 519-9349
Location 410 Congress St Ste 320Pasadena, CA 91105-3084 · Phone (626) 585-9474 · Fax (626) 585-9480
Location 5289 W Huntington Dr Ste 208Arcadia, CA 91007-3495 · Phone (626) 446-8809 · Fax (626) 446-8268
Location 623451 Madison St Ste 330Torrance, CA 90505-4762 · Phone (310) 375-9994 · Fax (310) 378-0789
Location 74201 Torrance Blvd Ste 640Torrance, CA 90503-4524 · Phone (310) 543-4444 · Fax (310) 543-4446

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

Stacey Pun Md 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 ID7517367139
PECOS Enrollment IDI20210713000977
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 15

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
577 services409 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
533 services63 patients
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.
171 services114 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
138 services96 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
126 services90 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 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.
72 services72 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90017 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
1127 WILSHIRE BLVD STE 600
LOS ANGELES, CA 90017
Physician Assistant
1127 WILSHIRE BLVD STE 600
LOS ANGELES, CA 90017

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 Pun's NPI number?

The NPI number for Stacey Pun is 1851763783. It was assigned to this individual provider in the NPPES registry on October 30, 2015.

Where is Stacey Pun located?

Stacey Pun practices at 1127 Wilshire Blvd Ste 600, Los Angeles, CA 90017. The listed phone number is (213) 278-0021.

What is Stacey Pun's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Is Stacey Pun enrolled in Medicare?

Yes. Stacey Pun 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.

When was this NPI record last updated?

The NPPES record for Stacey Pun was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.