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STACY RENE MCCARTY WILSON M.D.
NPI 1992839286
Obstetrics & Gynecology in Salem, OR

Active since March 16, 2007PECOS Enrolled
939 OAK ST SE, SALEM, OR 97301(503) 561-5200 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stacy Rene Mccarty Wilson M.d. NPPES

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

STACY RENE MCCARTY WILSON M.D. (NPI 1992839286) is an individual obstetrics & gynecology provider in Salem, Oregon, licensed in Oregon (MD152435) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992839286
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSTACY RENE MCCARTY WILSONCredential: M.D.
Location Address939 OAK ST SESalem, OR 97301-3901
Mailing AddressPo Box 13129Salem, OR 97309-1129
Phone(503) 561-5200
Sole ProprietorNo
Enumeration DateMarch 16, 2007
Last NPPES UpdateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
✔ NPI 1992839286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in OR · MD152435✔ Licensed in MO · 2007022061
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
939 OAK ST SE, Salem, OR 97301
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Rene Mccarty Wilson M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Stacy Mccarty Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Salem Health
0.1 mi
General Acute Care Hospital
890 OAK ST SE
Salem, OR 97301
  • Reassigned Medicare billing, Oregon enrollment
  • 625 clinicians in this Medicare group
NPI 1265431829 (503) 561-5200

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 97301 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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 7

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

CINDY DAVIS NP, NEONATAL
Nurse Practitioner (Neonatal, Critical Care)
939 OAK ST SE
SALEM, OR 97301
Marion County (503) 561-2490
DR. MATTHEW C EGALKA M.D.
Pediatrics (Neonatal-Perinatal Medicine)
939 OAK ST SE
SALEM, OR 97301
Marion County (035) 615-2005
CHERYL A LUGENBILL M.D.
Obstetrics & Gynecology
939 OAK ST SE
SALEM, OR 97301
Marion County (503) 561-2229
KATHRYN KUENZI NP NEONATAL
Nurse Practitioner (Neonatal, Critical Care)
939 OAK ST SE
SALEM, OR 97301
Marion County (503) 561-2490
AIMEE ANN KWON M.D.
Pediatrics
939 OAK ST SE
SALEM, OR 97301
Marion County (503) 561-5200
CHRISTOPHER M TRAUDT MD
Pediatrics (Neonatal-Perinatal Medicine)
939 OAK ST SE
SALEM, OR 97301
Marion County (503) 561-5200
MRS. KACY LEE BRADSHAW NNP
Nurse Practitioner (Neonatal, Critical Care)
939 OAK ST SE
SALEM, OR 97301
Marion County (503) 814-3561

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 Stacy Mccarty Wilson's NPI number?

The NPI number for Stacy Mccarty Wilson is 1992839286. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Stacy Mccarty Wilson located?

Stacy Mccarty Wilson practices at 939 Oak St SE, Salem, OR 97301. The listed phone number is (503) 561-5200.

What is Stacy Mccarty Wilson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Stacy Mccarty Wilson enrolled in Medicare?

Yes. Stacy Mccarty Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacy Mccarty Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Mccarty Wilson reassigns Medicare benefits to Salem Health (Salem, OR). The 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 Stacy Mccarty Wilson'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 Stacy Mccarty Wilson was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.