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STACEY RYDER MASSEY MD
NPI 1962720615
Radiology - Diagnostic Radiology in Shreveport, LA

Active since May 05, 2010PECOS EnrolledAccepts Medicare Assignment
1501 KINGS HWY, DEPARTMENT OF MEDICINE, SHREVEPORT, LA 71103(318) 675-4881(318) 675-5069 Get Directions Write a Review

NPPES record last updated: August 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1962720615
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameSTACEY RYDER MASSEYCredential: MD
Location Address1501 KINGS HWY, DEPARTMENT OF MEDICINEShreveport, LA 71103-4228
Mailing Address1501 Kings Hwy, Department Of MedicineShreveport, LA 71103-4228 · (318) 675-5915 · Fax (318) 675-5948
Phone(318) 675-4881
Fax(318) 675-5069
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 5, 2010
Last NPPES UpdateAugust 25, 2016
✔ NPI 1962720615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in LA · MD.205338
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1501 KINGS HWY, Shreveport, LA 71103
Open in Google Maps ↗

Other Identifiers 2

Medicaid2103661LA
Medicare PIN503969YH54LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.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

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.

PECOS PAC ID1254621824
PECOS Enrollment IDI20160609002541
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 2

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

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Desoto Regional Health System

Acute Care Hospitals · Mansfield, LA
OwnershipVoluntary non-profit - Private
CMS Certification Number190118
Location207 Jefferson StreetMansfield, LA 71052 · De Soto County
Emergency services

Physician 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.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
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 20

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

HS LOUISIANA, LLC
General Practice
1501 KINGS HWY, SUITE 5-303
SHREVEPORT, LA 71103
Caddo Parish (904) 834-2679
MUNIRA DAWITH MD
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY, PSYCHIATRY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-6619
MUHAMMAD AYUB
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0434
SEFI AHMED JAWADI
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0505
RYAN MORRIS
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-2293
LUKE MUIZNIEKS
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-1574
KRISTIN BEMBENICK
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-5300
CHRISTIAN SCOTT BAKER MD
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-5053

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.

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 and Desoto Regional Health System.

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 9 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.