STACEY LYNN CLANCY (MD) – Obstetrics & Gynecology Physician, NPI 1649372202

STACEY LYNN CLANCY (MD) is a healthcare provider. based in St louis, Missouri. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 112661 (MO). The NPI Number for STACEY LYNN CLANCY (MD) is 1649372202

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
STACEY LYNN CLANCY (MD)
NPI
1649372202
Phone
(314) 965-6033
Address
10345 WATSON RD
Enumeration Date
3 September 2006
Last Update Date
11 December 2019

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3145254100
Graduation Year
1997 (29 years ago)
PAC ID
8224134606
Group Practice PAC ID
7214827922
Professional Enrollment ID
I20100817000199
Address ID
MO631282181SA10004RDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

928 OBSTETRICS/GYNECOLOGY in MO

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Provider Addresses for STACEY LYNN CLANCY (MD)

  • 10345, Watson Rd, Sunset Hills, Saint Louis County, Missouri, 63127, United States

    ST LOUIS, MO 63127

    Phone: (314) 965-6033

    Fax: (314) 965-6067

    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 18 Open Payments records for all available years, with a total value of $308.

Total Amount is formed as General ($308) + Research ($0) + Ownership ($0) = $308.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Astellas Pharma US Inc ($90).

Total Amount

$308

General + Research + Ownership

Payments

18

Total payment records

General Amount

$308

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

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: 2010-08-17

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
I20100817000199IObstetrics/GynecologyMOTBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination4040$0
99213Established patient office or other outpatient visit, 20-29 minutes2920$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory1515$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 63127)

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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: 7214827922View full group profile

Reviews

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Frequently asked questions

Is there an official ID for STACEY LYNN CLANCY (MD) in U.S. healthcare records?
The official identifier for STACEY LYNN CLANCY (MD) is NPI 1649372202.
Active or inactive — what applies to STACEY LYNN CLANCY (MD)?
You should see STACEY LYNN CLANCY (MD) as active in CMS-hosted NPPES data.
How would a patient describe STACEY LYNN CLANCY (MD)'s focus?
For STACEY LYNN CLANCY (MD), the primary taxonomy reads as Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with STACEY LYNN CLANCY (MD)?
Directory geography for STACEY LYNN CLANCY (MD) centers on St Louis, Missouri.
When was this NPI issued?
Enumeration for STACEY LYNN CLANCY (MD) is noted as September 3, 2006 where the registry provides it.

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