STACY N. WEISBERG (MD) – Emergency Medicine Physician, NPI 1619959905

STACY N. WEISBERG (MD) is a healthcare provider. based in Worcester, Massachusetts. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 213821 (MA). The NPI Number for STACY N. WEISBERG (MD) is 1619959905

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
STACY N. WEISBERG (MD)
NPI
1619959905
Phone
(508) 421-1400
Address
55 LAKE AVE N
Enumeration Date
14 November 2005
Last Update Date
1 December 2020

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
5083341000
Graduation Year
1999 (27 years ago)
PAC ID
4284710567
Group Practice PAC ID
4284539891
Professional Enrollment ID
I20080326000987
Address ID
MA016550002WO55XXXNXXX400

Contacts

Secure Messaging
sweisberg23969@UmassMemorial.direct-ci.com
FHIR Endpoint
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,682 EMERGENCY MEDICINE in MA

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Provider Addresses for STACY N. WEISBERG (MD)

  • UMASS Memorial Medical Center University Campus Hospital, 55, Lake Avenue North, Worcester, Worcester County, Massachusetts, 01653, United States

    WORCESTER, MA 016550002

    Phone: (508) 421-1400

    Fax: (508) 421-1490

    Type: Location

  • PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States

    BOSTON, MA 022415348

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-03-26

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
I20080326000987IEmergency MedicineMATBD

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
99285Emergency department visit with high level of medical decision making132131$0
99284Emergency department visit with moderate level of medical decision making9695$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1919$0
99283Emergency department visit with low level of medical decision making1919$0
99291Critical care, first 30-74 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 01655)

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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: 4284539891View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MA
-MA
-MA
Family PracticeMA
Physician AssistantMA
Pulmonary Disease, Critical Care (Intensivists), Allergy/ImmunologyMA
-MA
-MA
Internal MedicineMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

Can I use this page to confirm STACY N. WEISBERG (MD)'s NPI?
Yes. STACY N. WEISBERG (MD) is listed with NPI 1619959905 in the public NPI dataset.
Can I rely on STACY N. WEISBERG (MD) being an active provider?
As of the registry snapshot, STACY N. WEISBERG (MD) is marked active.
What taxonomy line describes STACY N. WEISBERG (MD)?
For research purposes, treat STACY N. WEISBERG (MD) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does STACY N. WEISBERG (MD) serve?
STACY N. WEISBERG (MD)'s listing highlights Worcester, Massachusetts; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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