STACEY RYDER MASSEY MD
NPI 1962720615
Radiology - Diagnostic Radiology in Shreveport, LA
About Stacey Ryder Massey Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY RYDER MASSEY MD (NPI 1962720615) is an individual diagnostic radiology provider in Shreveport, Louisiana, licensed in Louisiana (MD.205338) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Stacey Ryder Massey 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
2Medicare enrollment records show Stacey Massey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 1,167 clinicians in this Medicare group
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 22 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Willis Knighton Medical Center
Acute Care Hospitals · Shreveport, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71103 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
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 Stacey Massey's NPI number?
The NPI number for Stacey Massey is 1962720615. It was assigned to this individual provider in the NPPES registry on May 5, 2010.
Where is Stacey Massey located?
Stacey Massey practices at 1501 Kings Hwy Department Of Medicine, Shreveport, LA 71103. The listed phone number is (318) 675-4881.
What is Stacey Massey's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Stacey Massey enrolled in Medicare?
Yes. Stacey Massey 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 Stacey Massey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Massey reassigns Medicare benefits to 2 organizations: Lsu Health Sciences Center Shreveport Faculty Group Practice (Shreveport, LA) and Red River Consultants, Inc (Shreveport, LA). 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 Stacey Massey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey Massey accept?
Health plans from HMO Louisiana list Stacey Massey 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 Stacey Massey affiliated with any hospitals?
According to CMS data, Stacey Massey is affiliated with Willis Knighton Medical Center.
When was this NPI record last updated?
The NPPES record for Stacey Massey was last updated on August 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Stacey Ryder Massey, MD · NPI 1962720615
Diagnostic Radiology physician in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since May 5, 2010.
## Identity
- **NPI:** 1962720615 (Entity type: Individual)
- **Enumerated:** May 5, 2010
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** MD.205338 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1501 KINGS HWY, DEPARTMENT OF MEDICINE, Shreveport, LA 71103-4228
- **Phone:** (318) 675-4881 · **Fax:** (318) 675-5069
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Lsu Health Sciences Center Shreveport Faculty Group Practice (NPI 1013374222, Shreveport, LA); Red River Consultants, Inc (NPI 1902877426, Shreveport, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** August 25, 2016
- **Other identifiers:** Medicaid 2103661 (LA); Medicare PIN 503969YH54 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1962720615) · Data from the CMS NPPES public registry.