DR. STACEY LYNN POZNANSKI (DO) – Emergency Medicine Physician, NPI 1063569879

DR. STACEY LYNN POZNANSKI (DO) is a healthcare provider. based in Kettering, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 51684 (WI). The NPI Number for DR. STACEY LYNN POZNANSKI (DO) is 1063569879

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. STACEY LYNN POZNANSKI (DO)
NPI
1063569879
Phone
(937) 395-8166
Address
3535 Southern Blvd
Enumeration Date
4 January 2007
Last Update Date
6 August 2019

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
9377024024
Graduation Year
2006 (20 years ago)
PAC ID
6800088048
Group Practice PAC ID
7315851359
Professional Enrollment ID
I20101007000099
Address ID
OH454291221KE3535XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,673 EMERGENCY MEDICINE in OH

Provider Addresses for DR. STACEY LYNN POZNANSKI (DO)

  • 3535 Southern Blvd

    Kettering, OH 454291221

    Phone: (937) 395-8166

    Type: Location

  • 4000 Miamisburg Centerville Rd

    Miamisburg, OH 453427615

    Phone: (937) 384-8791

    Fax: (937) 384-8729

    Type: Location

  • 8701 Old Troy Pike

    Huber Heights, OH 454241066

    Phone: (937) 558-3338

    Fax: (937) 558-3349

    Type: Location

  • 6147 State Route 122

    Middletown, OH 450055201

    Phone: (513) 261-3410

    Fax: (513) 261-3419

    Type: Location

  • 100 Kettering Way

    Franklin, OH 450051155

    Phone: (937) 458-4700

    Fax: (937) 458-4737

    Type: Location

  • 1997 Miamisburg Centerville Rd

    Centerville, OH 454593811

    Phone: (937) 401-6228

    Fax: (937) 401-6447

    Type: Location

  • 405 W Grand Ave

    Dayton, OH 454057538

    Phone: (937) 723-3211

    Fax: (937) 723-4609

    Type: Location

  • 450 Washington Jackson Rd Ste F

    Eaton, OH 453208699

    Phone: (937) 456-8376

    Fax: (937) 456-8377

    Type: Location

  • 9387 PARAGON MILLS LN

    CENTERVILLE, OH 454584185

    Phone: (608) 770-6005

    Type: Mailing

  • 3525, Southern Boulevard, South Dale, Kettering, Montgomery County, Ohio, 45429, United States

    KETTERING, OH 454291221

    Phone: (937) 395-8839

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101007000099IEmergency MedicineOHTBD

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
99285Emergency department visit with high level of medical decision making187180$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only9889$0
99284Emergency department visit with moderate level of medical decision making4545$0
99291Critical care, first 30-74 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 45429)

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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: 7315851359View full group profile
NameSpecialtyState
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
-OH
-OH
Emergency MedicineOH

Reviews

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Frequently asked questions

How do I look up DR. STACEY LYNN POZNANSKI (DO) by NPI?
Use NPI 1063569879 when you need to reference DR. STACEY LYNN POZNANSKI (DO) in forms, claims, or directories.
Is DR. STACEY LYNN POZNANSKI (DO) currently active in the NPI registry?
CMS-published data lists DR. STACEY LYNN POZNANSKI (DO) as an active registrant.
Can you summarize DR. STACEY LYNN POZNANSKI (DO)'s specialty in plain language?
Clinically, the directory lists DR. STACEY LYNN POZNANSKI (DO) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. STACEY LYNN POZNANSKI (DO)?
We surface Kettering, Ohio for DR. STACEY LYNN POZNANSKI (DO) based on available NPPES addresses.
What if Kettering, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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