DR. MICHAEL JOHN STACKPOOL (M.D.) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1245289966
Emergency Medical Services (Emergency Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,190 EMERGENCY MEDICINE in CO
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Provider Addresses for DR. MICHAEL JOHN STACKPOOL (M.D.)
Evergreen, Conecuh County, Alabama, 36401, United States
1153 BERGEN PARKWAY
EVERGREEN, CO 80439
Phone: (303) 670-2264
Type: Mailing
West 47th Avenue, Wheat Ridge, Jefferson County, Colorado, 80033, United States
WHEAT RIDGE, CO 80033
Phone: (303) 425-2087
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $107.
Total Amount is formed as General ($107) + Research ($0) + Ownership ($0) = $107.
Last reported payment date: 2024-05-07 • Largest payer in this snapshot: Braeburn Inc. ($88).
Total Amount
$107
General + Research + Ownership
Payments
2
Total payment records
General Amount
$107
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braeburn Inc. | $88 |
| Alkermes, Inc. | $19 |
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: 2024-07-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20060227000728 | I | Emergency Medicine | CO | TBD |
| I20240701003684 | I | Emergency Medicine | MN | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 46 | 46 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 39 | 38 | $0 |
| 99291 | Critical care, first 30-74 minutes | 34 | 34 | $0 |
Insurance plans in this area (ZIP 80439)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| Clinical Social Worker | CO | |
| - | CO | |
| - | CO | |
| - | CO |
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