1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. Anesthesiology
  6. NPI Profile

DR. MARK ALLEN STACY D.O.
NPI 1922322486
Anesthesiology in Indianapolis, IN

Active since March 26, 2010PECOS EnrolledAccepts Medicare Assignment
3630 GUION RD, INDIANAPOLIS, IN 46222(317) 920-7280(317) 920-7284 Get Directions Write a Review

NPPES record last updated: March 26, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Mark Allen Stacy D.o. NPPES

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

DR. MARK ALLEN STACY D.O. (NPI 1922322486) is an individual anesthesiology provider in Indianapolis, Indiana, licensed in Indiana (11015131A) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1922322486
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. MARK ALLEN STACYCredential: D.O.
Location Address3630 GUION RDIndianapolis, IN 46222-1616
Mailing Address3630 Guion RdIndianapolis, IN 46222-1616 · (317) 920-7280 · Fax (317) 920-7284
Phone(317) 920-7280
Fax(317) 920-7284
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 26, 2010
✔ NPI 1922322486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in IN · 11015131A
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
3630 GUION RD, Indianapolis, IN 46222
Open in Google Maps ↗

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

Dr. Mark Allen Stacy D.o. 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 ID8123260221
PECOS Enrollment IDI20150422001532
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 Mark Stacy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesia Associates Of Boise, P.A.
1,563 mi
Specialist
338 E BANNOCK ST
Boise, ID 83712
  • Reassigned Medicare billing, Idaho enrollment
  • 233 clinicians in this Medicare group
NPI 1033147467 (208) 336-0895

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) 64415
This procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.
13 services13 patients
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447
This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

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. KENNETH BYERLY D.O.
Emergency Medicine
3630 GUION RD
INDIANAPOLIS, IN 46222
Marion County (317) 920-7195
ROBERT C RAUZI DO
Anesthesiology
3630 GUION RD
INDIANAPOLIS, IN 46222
Marion County (317) 567-2180
JEFFREY BRUNETT MD
Emergency Medicine
3630 GUION RD
INDIANAPOLIS, IN 46222
Marion County (317) 920-7195
DAVID GOLDENBERG M.D.
Radiology (Diagnostic Radiology)
3630 GUION RD
INDIANAPOLIS, IN 46222
Marion County (317) 920-7139
AMERICAN HEALTH NETWORK OF INDIANA, LLC
Internal Medicine (Hematology & Oncology)
3630 GUION RD
INDIANAPOLIS, IN 46222
Marion County (317) 927-5770
MS. LINDA L FLEMING CRNA
Nurse Anesthetist, Certified Registered
3630 GUION RD
INDIANAPOLIS, IN 46222
Marion County (317) 920-7384
LINDA G YORK FNP
Nurse Practitioner (Family)
3630 GUION RD
INDIANAPOLIS, IN 46222
Marion County (317) 920-7286
TIMOTHY PAUL DEUTSCHER D.O.
Family Medicine
3630 GUION RD
INDIANAPOLIS, IN 46222
Marion County (317) 920-8439

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 Mark Stacy's NPI number?

The NPI number for Mark Stacy is 1922322486. It was assigned to this individual provider in the NPPES registry on March 26, 2010.

Where is Mark Stacy located?

Mark Stacy practices at 3630 Guion Rd, Indianapolis, IN 46222. The listed phone number is (317) 920-7280.

What is Mark Stacy's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Mark Stacy enrolled in Medicare?

Yes. Mark Stacy 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 organization bills Medicare for Mark Stacy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Stacy reassigns Medicare benefits to Anesthesia Associates Of Boise, P.A. (Boise, ID). 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 Mark Stacy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mark Stacy affiliated with any hospitals?

According to CMS data, Mark Stacy is affiliated with St Luke's Regional Medical Center and St Luke's Nampa Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Stacy was last updated on March 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.