DR. STACY J TAYLOR (M.D.) – Family Medicine Physician, NPI 1104837483

DR. STACY J TAYLOR (M.D.) is a healthcare provider. based in East hartford, Connecticut. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 040104 (CT). The NPI Number for DR. STACY J TAYLOR (M.D.) is 1104837483

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. STACY J TAYLOR (M.D.)
NPI
1104837483
Phone
(860) 528-2138
Address
893 MAIN ST STE 101
Enumeration Date
11 August 2006
Last Update Date
1 February 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
8605282138
Graduation Year
1998 (28 years ago)
PAC ID
6305031014
Group Practice PAC ID
9032016134
Professional Enrollment ID
I20101108001001
Address ID
CT061082293EA893XXSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

822 FAMILY PRACTICE in CT

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Provider Addresses for DR. STACY J TAYLOR (M.D.)

  • 893 MAIN ST STE 101

    EAST HARTFORD, CT 061082293

    Phone: (860) 528-2138

    Fax: (860) 528-0514

    Type: Mailing

  • 4, Farm Springs Road, Farmington, Capitol Planning Region, Connecticut, 06032, United States

    PROHEALTH PHYSICIANS

    FARMINGTON, CT 060322573

    Phone: (860) 284-5200

    Fax: (860) 284-5333

    Type: Mailing

  • Kennedy Drive, Torrington, Litchfield County, Connecticut, 06790, United States

    SUITE L-201

    TORRINGTON, CT 067903060

    Phone: (860) 482-0261

    Fax: (860) 482-6301

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-11-08

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
I20101108001001IFamily PracticeCTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes16995$0
99213Established patient office or other outpatient visit, 20-29 minutes4136$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3535$0
99203New patient office or other outpatient visit, 30-44 minutes3131$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1411$0
View full utilization report →

Insurance plans in this area (ZIP 06108)

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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: 9032016134View full group profile
NameSpecialtyState
Family PracticeCT
-CT
-CT
Family PracticeCT
Family PracticeCT
Family PracticeCT
Family PracticeCT
Family Practice, Sports MedicineCT
Nurse PractitionerCT
Family PracticeCT

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check DR. STACY J TAYLOR (M.D.) using NPI 1104837483?
NPI 1104837483 belongs to DR. STACY J TAYLOR (M.D.); compare other details if you need extra assurance.
Is there an active status for DR. STACY J TAYLOR (M.D.)?
For scheduling context, DR. STACY J TAYLOR (M.D.) is shown as active in the registry.
What expertise is attributed to DR. STACY J TAYLOR (M.D.)?
DR. STACY J TAYLOR (M.D.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. STACY J TAYLOR (M.D.)?
Directory geography for DR. STACY J TAYLOR (M.D.) centers on East Hartford, Connecticut.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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