STACEY R NIEDER (MD) – Family Medicine Physician, NPI 1013989797
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
495 FAMILY PRACTICE in AK
Provider Addresses for STACEY R NIEDER (MD)
2741 DEBARR RD STE 307
ANCHORAGE, AK 995082972
Phone: (907) 777-1850
Fax: (907) 777-1800
Type: Mailing
University Lake Drive, Anchorage, Alaska, 99508, United States
ANCHORAGE, AK 995084658
Phone: (907) 777-1850
Fax: (907) 777-1800
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $78.
Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.
Last reported payment date: 2023-09-21 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($78).
Total Amount
$78
General + Research + Ownership
Payments
1
Total payment records
General Amount
$78
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $78 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-03-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110311000307 | I | Family Practice | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 250 | 162 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 147 | 128 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 146 | 129 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 143 | 127 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 140 | 140 | $0 |
Insurance plans in this area (ZIP 99508)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | AK | |
| Family Practice | AK | |
| Family Practice | AK | |
| Family Practice | AK | |
| Family Practice | AK | |
| Physician Assistant | AK | |
| Family Practice | AK | |
| Physician Assistant | ID | |
| Physician Assistant | AK | |
| Family Practice, General Surgery | AK |
Reviews
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