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ANDREW MCVEIGH STACY DO
NPI 1972030930
Pediatrics in Loma Linda, CA

Active since May 21, 2017PECOS Enrolled
11234 ANDERSON ST, GME OFFICE WESTERLY SUITE 'C', LOMA LINDA, CA 92354(909) 558-4174 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 21, 2022, Oct 29, 2019, May 31, 2019 and 1 more (4 updates tracked since 2017).

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

NPI1972030930
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameANDREW MCVEIGH STACYCredential: DO
Location Address11234 ANDERSON ST, GME OFFICE WESTERLY SUITE 'C'Loma Linda, CA 92354-2804
Mailing Address11175 Campus St Ste A1121Loma Linda, CA 92350-1700 · (909) 558-4174
Phone(909) 558-4174
Sole ProprietorNo
Enumeration DateMay 21, 2017
Last NPPES UpdateSeptember 27, 20234 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
✔ NPI 1972030930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A17776
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
11234 ANDERSON ST, Loma Linda, CA 92354
Open in Google Maps ↗

Secondary Practice Locations 3

Location 111234 Anderson St, GME Office Westerly Suite 'C'Loma Linda, CA 92354-2804 · Phone (909) 558-4174
Location 212000 E 12 Mile RdWarren, MI 48093-3570 · Phone (586) 573-5000
Location 3250 S G StSan Bernardino, CA 92410-3320 · Phone (909) 382-7100

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Mcveigh Stacy Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 20

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

ELYSE LAUREN GURAN
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
SAMUEL COOK CHAMBI
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
LUIS MIGUEL OLMEDO TEMICH MD
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2822
HYUKJE SUNG MD, MA
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6491
JEFFERSON BRANCH RICHARDS
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4074
JOSEPH UNIS M.D.
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-8311
MARINA LIU M.D.
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475
JOSEPH M WILKINSON CRNA
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475

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.

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 2 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.