JOHN DOUGLAS STACEY (D.O.) – Orthopaedic Surgery Physician, NPI 1285070474
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
182 ORTHOPEDIC SURGERY in ID
Provider Addresses for JOHN DOUGLAS STACEY (D.O.)
625 Pole Line Rd W Ste 1B
Twin Falls, ID 833014269
Phone: (208) 825-2007
Type: Location
1001 SOUTH GEORGIA STREET
YORK HOSPITAL
YORK, PA 174032502
Phone: (717) 812-4090
Fax: (717) 812-4092
Type: Mailing
5955 ZEAMER AVENUE
JOINT BASE ELMENDORF RICHARDSON
ANCHORAGE, AK 99506
Phone: (907) 580-1571
Fax: (907) 580-1571
Type: Location
4102 Pinion Dr
10th Medical Group
Usaf Academy, CO 808402502
Phone: (719) 333-5183
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $272.
Total Amount is formed as General ($272) + Research ($0) + Ownership ($0) = $272.
Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Stryker Corporation ($211).
Total Amount
$272
General + Research + Ownership
Payments
5
Total payment records
General Amount
$272
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $211 |
| ACUMED LLC | $61 |
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: 2025-12-04
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 |
|---|---|---|---|---|
| I20230125003382 | I | Orthopedic Surgery | AK | TBD |
| I20251204003253 | I | Orthopedic Surgery | ID | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | CA | |
| General Surgery | PA | |
| General Surgery | OK | |
| General Surgery, Critical Care (Intensivists) | NY | |
| Nurse Practitioner | MI | |
| - | CA | |
| General Surgery | CA | |
| - | CA | |
| - | CA | |
| General Surgery | GA |
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