STACY PAYNE ARDOIN (MD) – Pediatric Rheumatology Physician, NPI 1417971086
Pediatric Rheumatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for STACY PAYNE ARDOIN (MD)
405 Butterfly Gardens Dr
Columbus, OH 432154985
Phone: (614) 722-6200
Type: Location
700 Ackerman Rd Ste 385
(PAA leased to OSU)
Columbus, OH 432021524
Phone: (614) 947-3700
Type: Location
5675 Venture Dr
Dublin, OH 430172159
Phone: (614) 722-6200
Type: Location
555 S 18TH ST
COLUMBUS, OH 432052654
Phone: (614) 722-2000
Type: Location
Nationwide Children's Hospital, 700, Children's Drive, Livingston Park, Columbus, Franklin, Ohio, 43205, United States
COLUMBUS, OH 432052664
Phone: (614) 722-2000
Type: Mailing
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: 2009-03-19
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 |
|---|---|---|---|---|
| I20090319000478 | I | Rheumatology | OH | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 80 | 45 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 43215)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | PA | |
| - | OH | |
| Nurse Practitioner | OH | |
| Hospitalist, Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| Medical Oncology | OH | |
| Medical Oncology | OH | |
| H E M A T O L O G Y/ O N C O L O G Y | CA | |
| Nurse Practitioner | OH | |
| H O S P I T A L I S T | OH |
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