DR. STACY R BROUSSARD M.D.
NPI 1932249356
Family Medicine in Saint Peters, MO

Q: What is Stacy Broussard's NPI number?

The NPI number for Stacy Broussard is 1932249356. It was assigned to this individual provider in the NPPES registry on February 7, 2007. The provider is also known as Dr. Stacy Mevs MD.

Q: What is Stacy Broussard'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 Stacy Broussard was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 February 07, 2007PECOS EnrolledAccepts Medicare Assignment

201 BJC SAINT PETERS DR STE 200, SAINT PETERS, MO 63376(636) 916-9615 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 13, 2026, Mar 19, 2025, Feb 11, 2022 and 1 more (4 updates tracked since 2018).

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About Dr. Stacy R Broussard M.d. NPPES

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

DR. STACY R BROUSSARD M.D. (NPI 1932249356) is an individual family medicine provider in Saint Peters, Missouri, licensed in Missouri (2021045311) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Meharry Medical College School Of Medicine (1990).

NPPES Registry Identity

NPI1932249356

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. STACY R BROUSSARDCredential: M.D.

Location Address201 BJC SAINT PETERS DR STE 200Saint Peters, MO 63376-3386

Mailing AddressPo Box 959354Saint Louis, MO 63195-9354 · (636) 916-9615 · Fax (636) 916-9850

Phone(636) 916-9615

Sole ProprietorNo

Medical School CMSMeharry Medical College School Of MedicineGraduated 1990

Enumeration DateFebruary 7, 2007

Last NPPES UpdateJanuary 13, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2026

✔ NPI 1932249356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MO · 2021045311✔ Licensed in NJ · 25MA06996700

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.

201 BJC SAINT PETERS DR STE 200, Saint Peters, MO 63376

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Other Names 1

Professional Name (2)Dr. Stacy Mevs Md

Other Identifiers 1

Medicaid3051404NJ

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. Stacy R Broussard 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 ID5193859486

PECOS Enrollment IDI20220222001029

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 8

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 with moderate level of decision making, if using time, 30 minutes or more 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.

245 services194 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

150 services150 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.

70 services61 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

42 services42 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

35 services35 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

25 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260020

Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County

Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260108

Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County

Emergency services Birthing friendly

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260180

Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County

Emergency services

Barnes-Jewish St Peters Hospital

Acute Care Hospitals · Saint Peters, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260191

Location10 Hospital DrSaint Peters, MO 63376 · St. Charles County

Emergency services

Progress West Hospital

Acute Care Hospitals · O Fallon, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260219

Location2 Progress Point PkwyO Fallon, MO 63368 · St. Charles County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63376 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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 19

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

DR. XIMENA SOLEDAD SCHNURR M.D.

Family Medicine