STACEY L MCKELVEY (MD) – Gastroenterology Physician, NPI 1164472312

STACEY L MCKELVEY (MD) is a healthcare provider. based in Barrington, Illinois. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 23379 (NE). The NPI Number for STACEY L MCKELVEY (MD) is 1164472312

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
STACEY L MCKELVEY (MD)
NPI
1164472312
Phone
(847) 382-7165
Address
200 FOX GLEN CT
Enumeration Date
10 May 2006
Last Update Date
19 March 2015

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
8473827165
Graduation Year
1999 (27 years ago)
PAC ID
3678502184
Group Practice PAC ID
2961506670
Professional Enrollment ID
I20150406001828
Address ID
IL600101809BA200XXCTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

978 GASTROENTEROLOGY in IL

Provider Addresses for STACEY L MCKELVEY (MD)

  • 200 FOX GLEN CT

    BARRINGTON, IL 600101809

    Phone: (847) 382-7165

    Fax: (847) 713-8160

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 330 Open Payments records for all available years, with a total value of $6,582.

Total Amount is formed as General ($6,582) + Research ($0) + Ownership ($0) = $6,582.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,244).

Total Amount

$6,582

General + Research + Ownership

Payments

330

Total payment records

General Amount

$6,582

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2015-04-06

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
I20150406001828IGastroenterologyILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes15097$0
99214Established patient office or other outpatient visit, 30-39 minutes10072$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope7069$0
45380Biopsy of large bowel using a flexible endoscope6262$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5542$0
View full utilization report →

Insurance plans in this area (ZIP 60010)

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Provider's Procedures

STACEY L MCKELVEY (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYIL45385Removal of polyps or growths of large bowel using an endoscope1615

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: 2961506670View full group profile
NameSpecialtyState
-OR
P A T H O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IL
Nurse PractitionerIL
Certified Registered Nurse Anesthetist (Crna)NV
A N E S T H E S I O L O G YIL
G A S T R O E N T E R O L O G YIL
G A S T R O E N T E R O L O G YIL
G A S T R O E N T E R O L O G YIL
-IL

Reviews

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Frequently asked questions

What unique ID ties claims to STACEY L MCKELVEY (MD)?
NPI 1164472312 is assigned to STACEY L MCKELVEY (MD) under the national enumeration system.
Is STACEY L MCKELVEY (MD) currently active in the NPI registry?
CMS-published data lists STACEY L MCKELVEY (MD) as an active registrant.
Can you summarize STACEY L MCKELVEY (MD)'s specialty in plain language?
Clinically, the directory lists STACEY L MCKELVEY (MD) with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place STACEY L MCKELVEY (MD)?
The snapshot lists Barrington, Illinois for STACEY L MCKELVEY (MD); download NPPES for the complete set.
Is STACEY L MCKELVEY (MD) a real provider?
This page reflects official NPPES data for NPI 1164472312. Always confirm identity and privileges with the practice and licensing boards.

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