GEORGE PETER JR. STACY (MD) – Cardiovascular Disease Physician, NPI 1669471066
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
490 CARDIOVASCULAR DISEASE (CARDIOLOGY) in KY
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Provider Addresses for GEORGE PETER JR. STACY (MD)
Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States
CHICAGO, IL 606776351
Phone: (502) 592-7743
Fax: (502) 272-5116
Type: Mailing
Dutchmans Parkway, St. Matthews, Jefferson County, Kentucky, 40205, United States
LOUISVILLE, KY 402053373
Phone: (502) 891-8300
Fax: (502) 891-8338
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $31.
Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.
Last reported payment date: 2024-01-25 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($31).
Total Amount
$31
General + Research + Ownership
Payments
2
Total payment records
General Amount
$31
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $31 |
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: 2024-08-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 24 Medicare enrollment records; no due dates published yet.
Enrollment records
24
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 |
|---|---|---|---|---|
| I20110216000993 | I | Cardiovascular Disease (Cardiology) | KY | TBD |
| I20230906001643 | I | Cardiovascular Disease (Cardiology) | TX | TBD |
| I20231010003081 | I | Cardiovascular Disease (Cardiology) | CT | TBD |
| I20240322003901 | I | Cardiovascular Disease (Cardiology) | AZ | TBD |
| I20240401000855 | I | Cardiovascular Disease (Cardiology) | GA | TBD |
| I20240417001046 | I | Cardiovascular Disease (Cardiology) | LA | TBD |
| I20240424003976 | I | Cardiovascular Disease (Cardiology) | IN | TBD |
| I20240503000452 | I | Cardiovascular Disease (Cardiology) | NE | TBD |
| I20240503000687 | I | Cardiovascular Disease (Cardiology) | MI | TBD |
| I20240503002862 | I | Cardiovascular Disease (Cardiology) | AR | TBD |
| I20240521000182 | I | Cardiovascular Disease (Cardiology) | PA | TBD |
| I20240521000837 | I | Cardiovascular Disease (Cardiology) | MD | TBD |
| I20240521003175 | I | Cardiovascular Disease (Cardiology) | DC | TBD |
| I20240522000198 | I | Cardiovascular Disease (Cardiology) | CO | TBD |
| I20240529001134 | I | Cardiovascular Disease (Cardiology) | DE | TBD |
| I20240530002859 | I | Cardiovascular Disease (Cardiology) | OK | TBD |
| I20240603003140 | I | Cardiovascular Disease (Cardiology) | MS | TBD |
| I20240604004304 | I | Cardiovascular Disease (Cardiology) | ME | TBD |
| I20240607002705 | I | Cardiovascular Disease (Cardiology) | NJ | TBD |
| I20240610002783 | I | Cardiovascular Disease (Cardiology) | WA | TBD |
| I20240614003177 | I | Cardiovascular Disease (Cardiology) | RI | TBD |
| I20240618002853 | I | Cardiovascular Disease (Cardiology) | MN | TBD |
| I20240624003989 | I | Cardiovascular Disease (Cardiology) | OH | TBD |
| I20240806000307 | I | Cardiovascular Disease (Cardiology) | WV | 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 |
|---|---|---|---|---|
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 231 | 230 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 174 | 92 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 150 | 101 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 81 | 79 | $0 |
| 93018 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 67 | 65 | $0 |
Insurance plans in this area (ZIP 60677)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | KY | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 24 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| - | CA | |
| O T O L A R Y N G O L O G Y | KY | |
| - | KY | |
| O T O L A R Y N G O L O G Y | MO | |
| - | KY | |
| Family Practice | IA | |
| - | KY | |
| Emergency Medicine | KY | |
| - | KY |
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