DR. STACY E. ILES (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1811257165

DR. STACY E. ILES (DPM) is a healthcare provider. based in Secaucus, New Jersey. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 25MD00327200 (NJ). The NPI Number for DR. STACY E. ILES (DPM) is 1811257165

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. STACY E. ILES (DPM)
NPI
1811257165
Phone
(201) 552-2256
Address
714 10TH ST
Enumeration Date
21 May 2012
Last Update Date
3 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3125881104
Graduation Year
2012 (14 years ago)
PAC ID
7810202686
Group Practice PAC ID
5597079509
Professional Enrollment ID
I20250325003885
Address ID
IL606051838CH730XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

1,074 PODIATRY in NJ

Provider Addresses for DR. STACY E. ILES (DPM)

  • 714 10TH ST

    SECAUCUS, NJ 070942921

    Phone: (201) 552-2256

    Type: Mailing

  • 540 37TH ST

    UNION CITY, NJ 070872545

    Phone: (201) 864-6860

    Type: Location

  • PO BOX 3290

    LA GRANDE, OR 978507290

    Phone: (541) 663-3100

    Fax: (541) 975-5135

    Type: Mailing

  • 710 SUNSET DR STE F

    LA GRANDE, OR 978501200

    Phone: (541) 663-3100

    Fax: (541) 975-5135

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $851.

Total Amount is formed as General ($851) + Research ($0) + Ownership ($0) = $851.

Last reported payment date: 2024-06-05 • Largest payer in this snapshot: Stryker Corporation ($750).

Total Amount

$851

General + Research + Ownership

Payments

5

Total payment records

General Amount

$851

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-05

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: 2025-03-25

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
I20250325003885IPodiatryILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07094)

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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: 5597079509View full group profile
NameSpecialtyState
P O D I A T R YIL
P O D I A T R YIL
P O D I A T R YMI

Reviews

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Frequently asked questions

What identifier follows DR. STACY E. ILES (DPM) across health systems?
The NPI 1811257165 uniquely identifies DR. STACY E. ILES (DPM) in U.S. healthcare data.
Does the public listing show DR. STACY E. ILES (DPM) as active?
DR. STACY E. ILES (DPM)'s NPI record reflects an active status in NPPES.
What type of care does DR. STACY E. ILES (DPM) provide?
DR. STACY E. ILES (DPM)'s profile centers on Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. STACY E. ILES (DPM)?
DR. STACY E. ILES (DPM) is associated with Secaucus, New Jersey in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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