DR. STACEY A BASS (MD, PHD) – Vascular & Interventional Radiology Physician, NPI 1083877278
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
804 DIAGNOSTIC RADIOLOGY in CT
Provider Addresses for DR. STACEY A BASS (MD, PHD)
111 FOUNDERS PLZ STE 400
EAST HARTFORD, CT 061083240
Phone: (860) 289-3375
Fax: (860) 783-5733
Type: Mailing
PO BOX 208042
NEW HAVEN, CT 065208042
Phone: (203) 298-8967
Type: Mailing
20 YORK ST
NEW HAVEN, CT 065103220
Phone: (203) 298-8967
Type: Location
Medical Office Building, 85, Seymour Street, Frog Hollow Historic District, Hartford, Hartford County, Connecticut, 06106, United States
SUITE 200
HARTFORD, CT 061065501
Phone: (860) 289-3375
Fax: (860) 290-4108
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $3,747.
Total Amount is formed as General ($3,747) + Research ($0) + Ownership ($0) = $3,747.
Last reported payment date: 2024-06-20 • Largest payer in this snapshot: Boston Scientific Corporation ($2,157).
Total Amount
$3,747
General + Research + Ownership
Payments
19
Total payment records
General Amount
$3,747
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $2,157 |
| Inari Medical, Inc. | $1,589 |
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: 2014-06-25
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 |
|---|---|---|---|---|
| I20140616002186 | I | Diagnostic Radiology | CT | TBD |
| I20140625000207 | I | Diagnostic Radiology | MA | 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 |
|---|---|---|---|---|
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 124 | 116 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 52 | 48 | $0 |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | 51 | 47 | $0 |
| 36558 | Insertion of tunneled central venous tube for infusion (5 years or older) | 25 | 23 | $0 |
| 76942 | Ultrasonic guidance for needle placement | 24 | 24 | $0 |
Insurance plans in this area (ZIP 06108)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | CT | 71250 | CT scan chest | 43 | 43 |
| DIAGNOSTIC RADIOLOGY | CT | 74177 | CT scan of abdomen and pelvis with contrast | 36 | 33 |
| DIAGNOSTIC RADIOLOGY | CT | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 23 | 23 |
| DIAGNOSTIC RADIOLOGY | CT | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | CT | |
| H E M A T O L O G Y/ O N C O L O G Y | CT | |
| Internal Medicine, Nephrology | SC | |
| - | CT | |
| - | NC | |
| Internal Medicine | CT | |
| - | CT | |
| Cardiac Surgery | CT | |
| - | CT | |
| - | CT |
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