MS. STACY ANN MARTIN MD
NPI 1891748315
Emergency Medicine - Emergency Medical Services in American Fork, UT
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
Specialties & Licenses 2
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Stacy Martin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salt Lake City, UT 84102
- Reassigned Medicare billing, Utah enrollment
- 316 clinicians in this Medicare group
Basin, WY 82410
- Reassigned Medicare billing, Wyoming enrollment
- 41 clinicians in this Medicare group
Dededo, GU 96929
- Reassigned Medicare billing, Guam enrollment
- 432 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.
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, WYCody Regional Health
Critical Access Hospitals · Cody, WYPhysician 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.
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.
AMERICAN FORK, UT 84003
AMERICAN FORK, UT 84003
AMERICAN FORK, UT 84003
AMERICAN FORK, UT 84003
AMERICAN FORK, UT 84003
AMERICAN FORK, UT 84003
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.
Which organizations bill Medicare for Stacy Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Martin reassigns Medicare benefits to 3 organizations: Emergency Physicians Integrated Care, LLC (Salt Lake City, UT), South Big Horn County Hospital District (Basin, WY) and Guam Healthcare Development Incorporated (Dededo, GU). Each 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 Stacy Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacy Martin accept?
Health plans from Blue Cross Blue Shield of Wyoming 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.
# Ms. Stacy Ann Martin, MD · NPI 1891748315
Emergency Medical Services physician in American Fork, Utah. Individual provider, active in the CMS NPPES registry since May 18, 2006.
## Identity
- **NPI:** 1891748315 (Entity type: Individual)
- **Enumerated:** May 18, 2006
- **Primary specialty:** Emergency Medicine - Emergency Medical Services · taxonomy 207PE0004X
- **State license:** 341513 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 170 NORTH 1100 EAST, American Fork, UT 84003
- **Phone:** (801) 714-6570
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Emergency Physicians Integrated Care, LLC (NPI 1578598199, Salt Lake City, UT); South Big Horn County Hospital District (NPI 1013919794, Basin, WY); Guam Healthcare Development Incorporated (NPI 1326447939, Dededo, GU) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Utah School Of Medicine, class of 1992
## Record status
- **NPPES last updated:** April 9, 2021
- **Other identifiers:** Medicaid D2015 (UT); Other 870636000MA1 (UT); Other 107008020102 (UT); and 2 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1891748315) · Data from the CMS NPPES public registry.