MRS. STACY M KIRBY (PA-C) – Dermatology Physician, NPI 1235393851

MRS. STACY M KIRBY (PA-C) is a healthcare provider. based in Cedar rapids, Iowa. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 001929 (IA). The NPI Number for MRS. STACY M KIRBY (PA-C) is 1235393851

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STACY M KIRBY (PA-C)
NPI
1235393851
Phone
(319) 363-0474
Address
1815 - 1ST AVE SE
Enumeration Date
13 July 2008
Last Update Date
6 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3193630474
Graduation Year
2008 (18 years ago)
PAC ID
6406915487
Group Practice PAC ID
9436143542
Professional Enrollment ID
I20081105000557
Address ID
IA524025417CE1815XSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,649 PHYSICIAN ASSISTANT in IA

Provider Addresses for MRS. STACY M KIRBY (PA-C)

  • 1815 - 1ST AVE SE

    SUITE 200

    CEDAR RAPIDS, IA 524025417

    Phone: (319) 363-0474

    Fax: (319) 363-2170

    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 15 Open Payments records for all available years, with a total value of $395.

Total Amount is formed as General ($395) + Research ($0) + Ownership ($0) = $395.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Janssen Biotech, Inc. ($129).

Total Amount

$395

General + Research + Ownership

Payments

15

Total payment records

General Amount

$395

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2008-11-05

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
I20081105000557IPhysician AssistantIATBD

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
17003Destruction of precancer skin growth, 2-14 growths717138$0
99213Established patient office or other outpatient visit, 20-29 minutes540417$0
17000Destruction of precancer skin growth, 1 growth332225$0
17110Destruction of skin growth, 1-14 growths178131$0
99212Established patient office or other outpatient visit, 10-19 minutes142112$0
View full utilization report →

Insurance plans in this area (ZIP 52402)

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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: 9436143542View full group profile
NameSpecialtyState
D E R M A T O L O G YWI
D E R M A T O L O G YIA
D E R M A T O L O G YIA
-IA
Physician AssistantCO
Physician AssistantIA
D E R M A T O L O G YMI
Physician AssistantIA
D E R M A T O L O G YIA
Nurse PractitionerIA

Reviews

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Frequently asked questions

How do I look up MRS. STACY M KIRBY (PA-C) by NPI?
Use NPI 1235393851 when you need to reference MRS. STACY M KIRBY (PA-C) in forms, claims, or directories.
Is MRS. STACY M KIRBY (PA-C)'s NPI currently valid?
The extract we use shows MRS. STACY M KIRBY (PA-C) as active.
What does MRS. STACY M KIRBY (PA-C) treat or focus on?
Patients typically see MRS. STACY M KIRBY (PA-C) under the specialty Dermatology Physician. Clinical services aligned with this taxonomy classification.
What location shows for MRS. STACY M KIRBY (PA-C)?
We surface Cedar Rapids, Iowa for MRS. STACY M KIRBY (PA-C) based on available NPPES addresses.
What if Cedar Rapids, Iowa seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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