STACEY ANN SOUTH (M.D.) – Gynecologic Oncology Physician, NPI 1336368547
Gynecologic Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
110 GYNECOLOGICAL ONCOLOGY in FL
Provider Addresses for STACEY ANN SOUTH (M.D.)
3425 UNIVERSITY PKWY
SUITE 102
SARASOTA, FL 342434241
Phone: (941) 746-7507
Fax: (941) 351-2668
Type: Mailing
3425 UNIVERSITY PKWY UNIT 102
SARASOTA, FL 342434271
Phone: (941) 746-7507
Fax: (941) 351-2668
Type: Location
367 S. GULPH ROAD
ATT: IPM CREDENTIALING
KING OF PRUSSIA, PA 194063121
Phone: (941) 746-7507
Fax: (941) 351-3668
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $4,547.
Total Amount is formed as General ($4,547) + Research ($0) + Ownership ($0) = $4,547.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Baxter Healthcare ($3,981).
Total Amount
$4,547
General + Research + Ownership
Payments
16
Total payment records
General Amount
$4,547
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $3,981 |
| Intuitive Surgical, Inc. | $397 |
| Astellas Pharma US Inc | $83 |
| CONMED Corporation | $42 |
| Merck Sharp & Dohme LLC | $25 |
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: 2008-09-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080930000114 | I | Gynecological Oncology | FL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 164 | 129 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 81 | 73 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 71 | 71 | $0 |
| 81003 | Automated urinalysis test | 38 | 37 | $0 |
| 58571 | Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less | 25 | 25 | $0 |
Insurance plans in this area (ZIP 34243)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GYNECOLOGICAL ONCOLOGY | FL | 81002 | Urinalysis, manual test | 311 | 194 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| Nurse Practitioner | FL | |
| N E U R O L O G Y | VA | |
| General Surgery | FL | |
| Physician Assistant | NH | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL |
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