STACY BEATY (MD) – Dermatology Physician, NPI 1669499638
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
337 DERMATOLOGY in MO
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Provider Addresses for STACY BEATY (MD)
3691 RUTGER AVE
PROVIDER ENROLLMENT
ST LOUIS, MO 63110
Phone: (314) 977-6828
Fax: (314) 977-6777
Type: Mailing
Place Saint-Louis, Little France, Centre, Strasbourg, Bas-Rhin, European Collectivity of Alsace, Grand Est, Metropolitan France, 67000, France
ST LOUIS, MO 63104
Phone: (314) 256-3433
Fax: (314) 256-3431
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 212 Open Payments records for all available years, with a total value of $4,053.
Total Amount is formed as General ($4,053) + Research ($0) + Ownership ($0) = $4,053.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,036).
Total Amount
$4,053
General + Research + Ownership
Payments
212
Total payment records
General Amount
$4,053
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $1,036 |
| ABBVIE INC. | $442 |
| GENZYME CORPORATION | $359 |
| E.R. Squibb & Sons, L.L.C. | $314 |
| Dermavant Sciences, Inc. | $212 |
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: 2010-10-07
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 |
|---|---|---|---|---|
| I20101007001328 | I | Dermatology | TX | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 370 | 75 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 359 | 295 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 183 | 143 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 130 | 107 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 120 | 102 | $0 |
Insurance plans in this area (ZIP 63110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX |
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