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MS. STACY ANN MARTIN MD
NPI 1891748315
Emergency Medicine - Emergency Medical Services in American Fork, UT

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
170 NORTH 1100 EAST, AMERICAN FORK, UT 84003(801) 714-6570 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2021, May 26, 2020, Nov 6, 2018 (3 updates tracked since 2018).

About Ms. Stacy Ann Martin Md NPPES

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

MS. STACY ANN MARTIN MD (NPI 1891748315) is an individual emergency medical services provider in American Fork, Utah, licensed in Utah (341513) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with South Big Horn County Hospital, and is a graduate of University Of Utah School Of Medicine (1992).

NPPES Registry Identity

NPI1891748315
Entity TypeIndividualFemale
Primary Taxonomy207PE0004X
Provider Legal NameMS. STACY ANN MARTINCredential: MD
Location Address170 NORTH 1100 EASTAmerican Fork, UT 84003
Mailing AddressPo Box 430Spanish Fork, UT 84660-0430 · (866) 898-7136 · Fax (616) 975-9827
Phone(801) 714-6570
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1992
Enumeration DateMay 18, 2006
Last NPPES UpdateApril 9, 20213 updates tracked since enumeration
NPPES CertifiedApril 9, 2021
✔ NPI 1891748315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in UT · 341513
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Also ListedEmergency MedicineTaxonomy 207P00000X · License M-2221 (GU), MTL-2018-027 (GU), EMTL-2020-001 (GU)
170 NORTH 1100 EAST, American Fork, UT 84003
Open in Google Maps ↗

Other Identifiers 5

MedicaidD2015UT
Other870636000MA1UT · Educators Mutual
Other107008020102UT · Select Health
Other491910UT · Deseret Mutual
Other97341513101001UT · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Mountain Health CO-OP.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

Ms. Stacy Ann Martin 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 ID1557460706
PECOS Enrollment IDI20230522000203
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.

Hospital Affiliations CMS Care Compare 2

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

South Big Horn County Hospital

Critical Access Hospitals · Basin, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531301
Location388 Us Highway 20 SouthBasin, WY 82410 · Big Horn County
Emergency services

Cody Regional Health

Critical Access Hospitals · Cody, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531312
Location707 Sheridan AvenueCody, WY 82414 · Park County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84003 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 6

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

MR. MICHAEL S YOUNG MD
Emergency Medicine (Emergency Medical Services)
170 NORTH 1100 EAST
AMERICAN FORK, UT 84003
Utah County (801) 714-6570
DR. DEAN W SHELTON MD
Emergency Medicine (Emergency Medical Services)
170 NORTH 1100 EAST
AMERICAN FORK, UT 84003
Utah County (801) 714-6570
MRS. BRENDA M CRAWFORD MD
Emergency Medicine (Emergency Medical Services)
170 NORTH 1100 EAST
AMERICAN FORK, UT 84003
Utah County (801) 714-6570
L. SCOTT VANWAGONER DO
Emergency Medicine (Emergency Medical Services)
170 NORTH 1100 EAST
AMERICAN FORK, UT 84003
Utah County (801) 714-6570
MR. LENARD C BRUNSDALE MD
Emergency Medicine (Emergency Medical Services)
170 NORTH 1100 EAST
AMERICAN FORK, UT 84003
Utah County (801) 714-6570
MR. BRADLEY J BENTLEY MD
Emergency Medicine (Emergency Medical Services)
170 NORTH 1100 EAST
AMERICAN FORK, UT 84003
Utah County (801) 714-6570

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 Martin's NPI number?

The NPI number for Stacy Martin is 1891748315. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Stacy Martin located?

Stacy Martin practices at 170 North 1100 East, American Fork, UT 84003. The listed phone number is (801) 714-6570.

What is Stacy Martin's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Stacy Martin enrolled in Medicare?

Yes. Stacy Martin 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 Stacy Martin accept?

Health plans from Blue Cross Blue Shield of Wyoming and Mountain Health CO-OP list Stacy Martin 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.

Is Stacy Martin affiliated with any hospitals?

According to CMS data, Stacy Martin is affiliated with South Big Horn County Hospital and Cody Regional Health.

When was this NPI record last updated?

The NPPES record for Stacy Martin was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.