DR. STACEY ELLEN COPELAND (M.D.) – Surgery Physician, NPI 1861590770

DR. STACEY ELLEN COPELAND (M.D.) is a healthcare provider. based in Hannibal, Missouri. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 2017033858 (MO). The NPI Number for DR. STACEY ELLEN COPELAND (M.D.) is 1861590770

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. STACEY ELLEN COPELAND (M.D.)
NPI
1861590770
Phone
(573) 629-3400
Address
6500 HOSPITAL DR STE 2A
Enumeration Date
21 September 2006
Last Update Date
22 September 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
5732481300
Graduation Year
1993 (33 years ago)
PAC ID
9537333877
Group Practice PAC ID
1254236300
Professional Enrollment ID
I20180117000648
Address ID
MO634016890HA6500XDRXX300
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

785 GENERAL SURGERY in MO

Provider Addresses for DR. STACEY ELLEN COPELAND (M.D.)

  • 6500 HOSPITAL DR STE 2A

    HANNIBAL, MO 634016890

    Phone: (573) 629-3400

    Fax: (573) 629-3414

    Type: Mailing

  • 6500 HOSPITAL DR

    HANNIBAL, MO 634016890

    Phone: (573) 629-3400

    Fax: (573) 629-3414

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $112.

Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.

Last reported payment date: 2024-07-31 • Largest payer in this snapshot: Smith+Nephew, Inc. ($55).

Total Amount

$112

General + Research + Ownership

Payments

6

Total payment records

General Amount

$112

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-31

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: 2018-01-17

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
I20180117000648IGeneral SurgeryMOTBD

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 minutes7349$0
99203New patient office or other outpatient visit, 30-44 minutes3636$0
99212Established patient office or other outpatient visit, 10-19 minutes3429$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2515$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1711$0
View full utilization report →

Insurance plans in this area (ZIP 63401)

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Provider's Procedures

DR. STACEY ELLEN COPELAND (M.D.) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYWV19301Partial removal of breast1716

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: 1254236300View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Family PracticeMO
Internal MedicineMO
Nephrology, Internal Medicine, Nephrology, Internal MedicineIL
Nurse PractitionerMO
Emergency MedicineMO
Nurse PractitionerMO
P A T H O L O G YMO
Internal Medicine, Cardiovascular Disease (Cardiology)MO

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Frequently asked questions

What unique ID ties claims to DR. STACEY ELLEN COPELAND (M.D.)?
NPI 1861590770 is assigned to DR. STACEY ELLEN COPELAND (M.D.) under the national enumeration system.
Is DR. STACEY ELLEN COPELAND (M.D.)'s NPI currently valid?
The extract we use shows DR. STACEY ELLEN COPELAND (M.D.) as active.
What field does DR. STACEY ELLEN COPELAND (M.D.) work in?
You can think of DR. STACEY ELLEN COPELAND (M.D.) as practicing within Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. STACEY ELLEN COPELAND (M.D.)?
We surface Hannibal, Missouri for DR. STACEY ELLEN COPELAND (M.D.) based on available NPPES addresses.
Is DR. STACEY ELLEN COPELAND (M.D.) a real provider?
This page reflects official NPPES data for NPI 1861590770. Always confirm identity and privileges with the practice and licensing boards.

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