REBECCA STACK – Foot & Ankle Surgery Podiatrist, NPI 1164955746

REBECCA STACK is a healthcare provider. based in Denver, Colorado. specializing in PODIATRY. They hold a License No. 016005891 (IL). The NPI Number for REBECCA STACK is 1164955746

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA STACK
NPI
1164955746
Phone
Not provided
Address
1721 E 19TH AVE STE 520
Enumeration Date
10 April 2017
Last Update Date
31 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8476395800
Graduation Year
2017 (9 years ago)
PAC ID
5890112882
Group Practice PAC ID
1355566183
Professional Enrollment ID
I20200908000569
Address ID
IL600143621CR750XXAVEX503

Contacts

Secure Messaging
rstack289651@direct.myadvocateaurora.org
FHIR Endpoint
https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness95
Years active:9State licenses:1Other names

1,038 PODIATRY in IL

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Provider Addresses for REBECCA STACK

  • 520, East 19th Avenue, North Capitol Hill, Denver, Denver County, Colorado, 80203, United States

    DENVER, CO 802181243

    Phone:

    Type: Mailing

  • 750 E TERRA COTTA AVE STE C

    CRYSTAL LAKE, IL 600143621

    Phone:

    Type: Mailing

  • 113, West Main Street, Cary, McHenry County, Illinois, 60013, United States

    CARY, IL 600132718

    Phone: (847) 639-5800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $6,496.

Total Amount is formed as General ($6,496) + Research ($0) + Ownership ($0) = $6,496.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Stryker Corporation ($4,038).

Total Amount

$6,496

General + Research + Ownership

Payments

51

Total payment records

General Amount

$6,496

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-09-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200908000569IPodiatryILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0127Trimming of dystrophic nails, any number334141$0
99213Established patient office or other outpatient visit, 20-29 minutes244152$0
11720Removal of fingernails or toenails, 1-5 nails23496$0
99214Established patient office or other outpatient visit, 30-39 minutes168107$0
11721Removal of fingernails or toenails, 6 or more nails15279$0
View full utilization report →

Insurance plans in this area (ZIP 80218)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355566183View full group profile

Reviews

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Frequently asked questions

What is the registry number for REBECCA STACK?
The registry entry for REBECCA STACK shows NPI 1164955746.
Is REBECCA STACK's NPI status active today?
Active status means REBECCA STACK's NPI record is not deactivated in the public file.
What type of care does REBECCA STACK provide?
REBECCA STACK's profile centers on Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is REBECCA STACK tied to Denver, Colorado?
If you are local to Denver, Colorado, REBECCA STACK may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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