DR. STACY ELAINE DIXON (M.D., PH.D.) – Neuromuscular Medicine (Psychiatry & Neurology) Physician, NPI 1245598747

Neuromuscular Medicine (Psychiatry & Neurology) Physician

DR. STACY ELAINE DIXON (M.D., PH.D.) is a healthcare provider. based in Aurora, Colorado. specializing in NEUROLOGY. They hold the professional credentials M.D., PH.D.. They hold a License No. DR0057201 (CO). The NPI Number for DR. STACY ELAINE DIXON (M.D., PH.D.) is 1245598747

Main info

Female

14 Years Of Experience

Accepts Medicare Assignment

Name

DR. STACY ELAINE DIXON (M.D., PH.D.)

NPI

1245598747

Phone

(303) 724-2188

Address

12631 E. 17TH AVE.

Enumeration Date

3 May 2012

Last Update Date

30 January 2020

Doctor Profile

Medical School Name

INDIANA UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

7208480000

Graduation Year

2012 (14 years ago)

PAC ID

5496047094

Group Practice PAC ID

3476465667

Professional Enrollment ID

I20170811000996

Address ID

CO800452541AU1635XCTXX300

Telehealth

Yes

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience57

Completeness75

Years active:14State licenses:1Digital endpointsOther names

505 NEUROLOGY in CO

Provider Addresses for DR. STACY ELAINE DIXON (M.D., PH.D.)

12631 E. 17TH AVE.
MS B185
AURORA, CO 800452581
Phone: (303) 724-2188
Fax: (303) 724-2202
Type: Mailing
13001 E. 17TH PLACE
AURORA, CO 800452581
Phone: (303) 724-4330
Type: Location
12605 E 16th Ave
Aurora, CO 800452545
Phone: (720) 848-0000
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $18,303.

Total Amount is formed as General ($18,303) + Research ($0) + Ownership ($0) = $18,303.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Sarepta Therapeutics, Inc. ($7,543).

Total Amount

$18,303

General + Research + Ownership

Payments

Total payment records

General Amount

$18,303

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2024-10-14

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
Sarepta Therapeutics, Inc.	$7,543
CSL Behring	$5,979
Biogen, Inc.	$3,176
Genentech, Inc.	$1,583
ABBVIE INC.	$22

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: 2017-08-11

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

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
I20170811000996	I	Neurology	CO	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99215	Established patient office or other outpatient visit, 40-54 minutes	37	34	$0
99214	Established patient office or other outpatient visit, 30-39 minutes	32	25	$0
95885	Needle measurement of electrical activity in arm or leg muscles, limited study	32	25	$0
95886	Needle measurement of electrical activity in arm or leg muscles, complete study	30	27	$0
99204	New patient office or other outpatient visit, 45-59 minutes	20	20	$0

View full utilization report →

Insurance plans in this area (ZIP 80045)

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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: 3476465667View full group profile

Name	Specialty	State
LAURA TIERNEY YOST (CRNA)	-	CO
DR. ANN T KLEIN (MD)	Family Practice	CO
LARRY ALLEN (MD)	Advanced Heart Failure And Transplant Cardiology, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal Medicine	CO
JEFFREY DRUCK (MD)	Emergency Medicine	CO
BARBARA BLOK (MD)	Emergency Medicine	CO
Unknown Individual	-	CO
Unknown Individual	-	CO
CHARLES LITTLE (DO)	Emergency Medicine	CO
KELLY A. OBRIEN (P.A.C.)	-	CO
AMANDA JEAN JOHNSON (MD)	-	CO

Reviews

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Frequently asked questions

Can I verify DR. STACY ELAINE DIXON (M.D., PH.D.) with an NPI only?

You can start verification with NPI 1245598747 for DR. STACY ELAINE DIXON (M.D., PH.D.), then check state licensing separately.

Does CMS list DR. STACY ELAINE DIXON (M.D., PH.D.) as active?

Yes — DR. STACY ELAINE DIXON (M.D., PH.D.) is active in the NPI listing used on this page.

What is DR. STACY ELAINE DIXON (M.D., PH.D.)'s primary classification?

Neuromuscular Medicine (Psychiatry & Neurology) Physician is the headline specialty for DR. STACY ELAINE DIXON (M.D., PH.D.) here. Clinical services aligned with this taxonomy classification.

What address line appears for DR. STACY ELAINE DIXON (M.D., PH.D.)?

DR. STACY ELAINE DIXON (M.D., PH.D.)'s geographic hint is Aurora, Colorado in our summary view.

Why does DR. STACY ELAINE DIXON (M.D., PH.D.) have multiple addresses?

3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.