DR. MICHAEL ANDREW STACK M.D.
NPI 1932146685
Family Medicine in Ithaca, MI

Q: What is Michael Stack's NPI number?

The NPI number for Michael Stack is 1932146685. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Q: What is Michael Stack's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Stack was last updated on September 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment

121 N PINE RIVER ST, ITHACA, MI 48847(989) 875-5111(989) 875-5023 Get Directions Write a Review

NPPES record last updated: September 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Michael Andrew Stack M.d. NPPES

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

DR. MICHAEL ANDREW STACK M.D. (NPI 1932146685) is an individual family medicine provider in Ithaca, Michigan, licensed in Michigan (4301064712) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Alma, and is a graduate of Wayne State University School Of Medicine (1994).

NPPES Registry Identity

NPI1932146685

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MICHAEL ANDREW STACKCredential: M.D.

Location Address121 N PINE RIVER STIthaca, MI 48847-1039

Mailing Address121 N Pine River StIthaca, MI 48847-1039 · (989) 875-5111 · Fax (989) 875-5023

Phone(989) 875-5111

Fax(989) 875-5023

Sole ProprietorYes

Medical School CMSWayne State University School Of MedicineGraduated 1994

Enumeration DateJune 1, 2006

Last NPPES UpdateSeptember 6, 2012

✔ NPI 1932146685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 4301064712

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

121 N PINE RIVER ST, Ithaca, MI 48847

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Other Identifiers 13

Other4424316MI · Molina

Medicare PINN55970001MI

Medicare OSCAR/certification233971MI

Other1005781MI · Mclaren

Medicare PIN080189744MI

Medicare PINM17400024MI

Other200000005888MI · Php Commercial

Medicare UPING53712MI

Other0802900531MI · Bcbsm

Other0802911901MI · Bcbsm

Other1008870MI · Mclaren

Medicaid4424316MI

Other0985726MI · Healthplus Commercial

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Dr. Michael Andrew Stack M.d. 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 ID7911956701

PECOS Enrollment IDI20071105000087

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 3

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

Mymichigan Medical Center Alma

Acute Care Hospitals · Alma, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230030

Location300 E Warwick DrAlma, MI 48801 · Gratiot County

Emergency services Birthing friendly

Mymichigan Medical Center Clare

Acute Care Hospitals · Clare, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230180

Location703 N Mcewan StClare, MI 48617 · Clare County

Sparrow Carson Hospital

Acute Care Hospitals · Carson City, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230208

Location406 East Elm StCarson City, MI 48811 · Montcalm County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48847 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers33 claims73 services$6.32 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

3 suppliers11 claims11 services$2.69 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers21 claims23 services$1.09 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers14 claims14 services$7.13 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers35 claims35 services$110.58 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

MATTHEW A STACK PA C

Physician Assistant