ANDREW MCVEIGH STACY DO
NPI 1972030930
Pediatrics in Loma Linda, CA
About Andrew Mcveigh Stacy Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW MCVEIGH STACY DO (NPI 1972030930) is an individual pediatrics provider in Loma Linda, California, licensed in California (A17776) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andrew Mcveigh Stacy Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Andrew Stacy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Loma Linda, CA 92354
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Fontana, CA 92335
- Reassigned Medicare billing, California enrollment
- 5,228 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92354 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.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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 Andrew Stacy's NPI number?
The NPI number for Andrew Stacy is 1972030930. It was assigned to this individual provider in the NPPES registry on May 21, 2017.
Where is Andrew Stacy located?
Andrew Stacy practices at 11234 Anderson St Gme Office Westerly Suite 'c', Loma Linda, CA 92354. The listed phone number is (909) 558-4174.
What is Andrew Stacy's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Andrew Stacy enrolled in Medicare?
Yes. Andrew Stacy is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Andrew Stacy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Stacy reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA) and Southern California Permanente Medical Group (Fontana, CA). 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 Andrew Stacy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Andrew Stacy was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Andrew Mcveigh Stacy, DO · NPI 1972030930
Pediatrics physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since May 21, 2017.
## Identity
- **NPI:** 1972030930 (Entity type: Individual)
- **Enumerated:** May 21, 2017
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A17776 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST, GME OFFICE WESTERLY SUITE 'C', Loma Linda, CA 92354-2804
- **Phone:** (909) 558-4174
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): Faculty Physicians And Surgeons Of Llusm (NPI 1245605781, Loma Linda, CA); Southern California Permanente Medical Group (NPI 1689606196, Fontana, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1972030930) · Data from the CMS NPPES public registry.