STACEY L MCEWEN (D.O.) – Obstetrics & Gynecology Physician, NPI 1902032378

STACEY L MCEWEN (D.O.) is a healthcare provider. based in Fenton, Michigan. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials D.O.. They hold a License No. 5101018138 (MI). The NPI Number for STACEY L MCEWEN (D.O.) is 1902032378

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
STACEY L MCEWEN (D.O.)
NPI
1902032378
Phone
(810) 241-2557
Address
13476 BRYSON CT
Enumeration Date
29 May 2009
Last Update Date
29 May 2009

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
8102323522
Graduation Year
2009 (17 years ago)
PAC ID
2264662469
Group Practice PAC ID
2062323033
Professional Enrollment ID
I20140310001324
Address ID
MI485021803FL420XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,735 OBSTETRICS/GYNECOLOGY in MI

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Provider Addresses for STACEY L MCEWEN (D.O.)

  • 13476 BRYSON CT

    FENTON, MI 484301078

    Phone: (810) 241-2557

    Type: Mailing

  • Genesys Regional Medical Center, 1, Genesys Parkway, Genesee County, Michigan, 48439, United States

    GRAND BLANC, MI 484398065

    Phone: (810) 606-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $826.

Total Amount is formed as General ($826) + Research ($0) + Ownership ($0) = $826.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($210).

Total Amount

$826

General + Research + Ownership

Payments

33

Total payment records

General Amount

$826

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2014-03-10

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
I20140310001324IObstetrics/GynecologyMITBD

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 minutes3126$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1717$0
99203New patient office or other outpatient visit, 30-44 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 48430)

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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: 2062323033View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
-MI
Family PracticeMI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

Can I use this page to confirm STACEY L MCEWEN (D.O.)'s NPI?
Yes. STACEY L MCEWEN (D.O.) is listed with NPI 1902032378 in the public NPI dataset.
Can I rely on STACEY L MCEWEN (D.O.) being an active provider?
As of the registry snapshot, STACEY L MCEWEN (D.O.) is marked active.
What is STACEY L MCEWEN (D.O.) best known for clinically?
Directory data describes STACEY L MCEWEN (D.O.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where is STACEY L MCEWEN (D.O.) based?
STACEY L MCEWEN (D.O.) is tied to Fenton, Michigan in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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