STACY A. VIENHAGE (PA-C) – Physician Assistant, NPI 1972693638
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
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Provider Addresses for STACY A. VIENHAGE (PA-C)
3808, South Greystone Court, Springfield, Greene County, Missouri, 65804, United States
SPRINGFIELD, MO 65804
Phone: (417) 889-3332
Fax: (417) 881-1410
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 27 Open Payments records for all available years, with a total value of $866.
Total Amount is formed as General ($866) + Research ($0) + Ownership ($0) = $866.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($152).
Total Amount
$866
General + Research + Ownership
Payments
27
Total payment records
General Amount
$866
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $152 |
| Neurocrine BioSciences, Inc. | $125 |
| Kyowa Kirin, Inc. | $125 |
| Neurocrine BioSciences Inc. | $108 |
| Novartis Pharmaceuticals Corporation | $93 |
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: 2009-01-20
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 |
|---|---|---|---|---|
| I20090120000098 | I | Physician Assistant | MO | 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 | 484 | 75 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 177 | 159 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 119 | 96 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 112 | 88 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 63 | 53 | $0 |
Insurance plans in this area (ZIP 65804)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MO | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 259 | 237 |
| PHYSICIAN ASSISTANT | MO | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MO | |
| D E R M A T O L O G Y | MO |
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