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STACY UTTON
NPI 1912351404
Nurse Practitioner - Family in Virginia Beach, VA

Active since April 20, 2016PECOS EnrolledAccepts Medicare Assignment
91.81/100
CMS Quality Rating
1101 FIRST COLONIAL RD, STE. 300, VIRGINIA BEACH, VA 23454(757) 481-4817 Get Directions Write a Review

NPPES record last updated: June 13, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacy Utton NPPES

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

STACY UTTON (NPI 1912351404) is an individual family provider in Virginia Beach, Virginia, licensed in Virginia (0024173588) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Sentara Leigh Hospital, and is a graduate of Georgetown University School Of Medicine (2016).

NPPES Registry Identity

NPI1912351404
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACY UTTON
Location Address1101 FIRST COLONIAL RD, STE. 300Virginia Beach, VA 23454-2409
Mailing Address5160 Amberly RdVirginia Beach, VA 23462-3629 · (757) 687-8485
Phone(757) 481-4817
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2016
Enumeration DateApril 20, 2016
Last NPPES UpdateJune 13, 2016
✔ NPI 1912351404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024173588
Also ListedRegistered Nurse · GastroenterologyTaxonomy 163WG0100X · License 0001181340 (VA)
1101 FIRST COLONIAL RD, Virginia Beach, VA 23454
Open in Google Maps ↗

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

Stacy Utton 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 ID9032404876
PECOS Enrollment IDI20160818001234
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 6

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, 30-39 minutes 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.
262 services213 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
196 services159 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
98 services98 patients
Established patient office or other outpatient visit, 10-19 minutes 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.
30 services30 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services26 patients
New patient office or other outpatient visit, 30-44 minutes 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.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23454 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

91.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.14
Promoting Interoperability100
Improvement Activities40
Cost87.56

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.

DR. KRISTEN OVERSTREET MARTIN MD
Dermatology
1101 FIRST COLONIAL RD, SUITE 200
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 481-1666
DR. THOMAS MONROE KROP MD
Specialist
1101 FIRST COLONIAL RD, SUITE 200
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 481-1666
DR. THOMAS J HAYES MD
Specialist
1101 FIRST COLONIAL RD, SUITE200
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 481-1666
DR. LYNN MARIE UTECHT MD
Specialist
1101 FIRST COLONIAL RD, SUITE 200
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 481-1666
MICHELLE S. BARRON NP
Nurse Practitioner (Family)
1101 FIRST COLONIAL RD, SUITE 300
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 481-4817
DR. STEVEN CRONQUIST M.D.
Dermatology (MOHS-Micrographic Surgery)
1101 FIRST COLONIAL RD, SUITE 200
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 481-1666
DR. JONATHAN LEE HINDMAN D.O.
Dermatology
1101 FIRST COLONIAL RD, SUITE 200
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 481-1666
DR. JOSEPH SUMNER BELL III M.D.
Internal Medicine (Gastroenterology)
1101 FIRST COLONIAL RD, SUITE 300
VIRGINIA BEACH, VA 23454
Virginia Beach City (757) 481-4817

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 Utton's NPI number?

The NPI number for Stacy Utton is 1912351404. It was assigned to this individual provider in the NPPES registry on April 20, 2016.

Where is Stacy Utton located?

Stacy Utton practices at 1101 First Colonial Rd Ste. 300, Virginia Beach, VA 23454. The listed phone number is (757) 481-4817.

What is Stacy Utton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stacy Utton enrolled in Medicare?

Yes. Stacy Utton 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.

Is Stacy Utton affiliated with any hospitals?

According to CMS data, Stacy Utton is affiliated with Sentara Leigh Hospital, Sentara Virginia Beach General Hospital and Sentara Princess Anne Hospital.

When was this NPI record last updated?

The NPPES record for Stacy Utton was last updated on June 13, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.