STACEY BASQUIN (PAC) – Physician Assistant, NPI 1760549919
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
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Provider Addresses for STACEY BASQUIN (PAC)
PO BOX 1640
STATESBORO, GA 304591640
Phone: (912) 681-4911
Fax: (912) 681-6911
Type: Mailing
Cotton Ridge Medical Plaza, 1601, Fair Road, Somerset, Statesboro, Bulloch County, Georgia, 30458, United States
SUITE 600 COTTON RIDGE MEDICAL PLAZA
STATESBORO, GA 30458
Phone: (912) 681-4911
Fax: (912) 681-6911
Type: Location
PO BOX 689022
FRANKLIN, TN 370689022
Phone: (615) 465-7211
Fax: (615) 628-6877
Type: Mailing
1601 FAIR RD STE 600
STATESBORO, GA 304580800
Phone: (912) 681-4911
Fax: (912) 681-6911
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 198 Open Payments records for all available years, with a total value of $3,958.
Total Amount is formed as General ($3,958) + Research ($0) + Ownership ($0) = $3,958.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($523).
Total Amount
$3,958
General + Research + Ownership
Payments
198
Total payment records
General Amount
$3,958
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2007-07-23
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 |
|---|---|---|---|---|
| I20070723000352 | I | Physician Assistant | GA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 375 | 239 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 223 | 152 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 142 | 134 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 119 | 118 | $0 |
| 94726 | Test to determine lung volumes using sensors | 118 | 117 | $0 |
Insurance plans in this area (ZIP 30459)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Physician Assistant | TN | |
| A N E S T H E S I O L O G Y | NC | |
| Nurse Practitioner | GA | |
| Internal Medicine, Gastroenterology | GA | |
| Physician Assistant | GA | |
| Internal Medicine | GA | |
| Internal Medicine, Pediatric Medicine | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA |
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