STACEY B. FAZENBAKER (M. D.) – Family Medicine Physician, NPI 1487615787
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,717 FAMILY PRACTICE in KY
Provider Addresses for STACEY B. FAZENBAKER (M. D.)
240 AYER PKWY E
MADISONVILLE, KY 424318999
Phone: (270) 825-8345
Fax: (270) 825-2975
Type: Mailing
3333 Frederica St Ste 5
Owensboro, KY 423016085
Phone: (270) 297-9075
Fax: (270) 297-9077
Type: Location
240 Ayer Pkwy E
Madisonville, KY 424318999
Phone: (270) 825-8345
Fax: (270) 825-2975
Type: Location
444 S MAIN ST
MADISONVILLE, KY 424312846
Phone: (270) 821-4444
Type: Location
PO BOX 3276
EVANSVILLE, IN 477313276
Phone: (812) 473-0181
Fax: (812) 473-5822
Type: Mailing
3333 FREDERICA ST STE 5
OWENSBORO, KY 423016085
Phone: (270) 297-9075
Fax: (270) 297-9077
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 67 Open Payments records for all available years, with a total value of $1,243.
Total Amount is formed as General ($1,243) + Research ($0) + Ownership ($0) = $1,243.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Channel Medsystems, Inc. ($119).
Total Amount
$1,243
General + Research + Ownership
Payments
67
Total payment records
General Amount
$1,243
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
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: 2005-10-03
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 |
|---|---|---|---|---|
| I20051003000566 | I | Family Practice | KY | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 189 | 89 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 120 | 51 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 48 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $0 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 42431)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| Nurse Practitioner | KY | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | MO | |
| N E U R O L O G Y | IN | |
| N E U R O S U R G E R Y | KY | |
| Hematology/Oncology, Internal Medicine | KY | |
| Family Practice | KY | |
| Nurse Practitioner | KY | |
| Family Practice | NC | |
| Physical Medicine And Rehabilitation | TN |
Reviews
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