STACEY E BISHOP YEATMAN (M.D.) – Family Medicine Physician, NPI 1770520975

STACEY E BISHOP YEATMAN (M.D.) is a healthcare provider. based in Cincinnati, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 39539 (KY). The NPI Number for STACEY E BISHOP YEATMAN (M.D.) is 1770520975

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
STACEY E BISHOP YEATMAN (M.D.)
NPI
1770520975
Phone
(859) 781-4111
Address
PO BOX 635283
Enumeration Date
31 May 2006
Last Update Date
13 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8598248400
Graduation Year
2002 (24 years ago)
PAC ID
8022045095
Group Practice PAC ID
2163326240
Professional Enrollment ID
I20050721000075
Address ID
KY410979483WI300XXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,717 FAMILY PRACTICE in KY

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Provider Addresses for STACEY E BISHOP YEATMAN (M.D.)

  • Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States

    CINCINNATI, OH 452635283

    Phone: (859) 781-4111

    Fax: (859) 441-5214

    Type: Mailing

  • 2626, Alexandria Pike, Highland Heights, Campbell County, Kentucky, 41076, United States

    HIGHLAND HEIGHTS, KY 410761530

    Phone: (859) 781-4111

    Fax: (859) 441-5214

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2024-10-11 • Largest payer in this snapshot: ABBVIE INC. ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$28
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: 2005-07-21

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
I20050721000075IFamily PracticeKYTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes255142$0
36415Insertion of needle into vein for collection of blood sample222172$0
99213Established patient office or other outpatient visit, 20-29 minutes154122$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit112112$0
G0008Administration of influenza virus vaccine6057$0
View full utilization report →

Insurance plans in this area (ZIP 45263)

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Provider's Procedures

STACEY E BISHOP YEATMAN (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEKY81002Urinalysis, manual test5549
FAMILY MEDICINEKY90670Pneumococcal vaccine for injection into muscle5252

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: 2163326240View full group profile
NameSpecialtyState
Internal MedicineKY
Family PracticeOH
H O S P I T A L I S TOH
Family PracticeKY
Family PracticeOH
G A S T R O E N T E R O L O G YKY
-KY
Family PracticeOH
-FL
Nurse PractitionerKY

Reviews

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Frequently asked questions

How is STACEY E BISHOP YEATMAN (M.D.) identified in CMS data?
CMS-hosted NPPES data lists STACEY E BISHOP YEATMAN (M.D.) with NPI 1770520975.
Is STACEY E BISHOP YEATMAN (M.D.) listed as active for patients and plans?
The listing shows STACEY E BISHOP YEATMAN (M.D.) as active in the NPI system.
What healthcare role does STACEY E BISHOP YEATMAN (M.D.) hold?
Scheduling teams often label STACEY E BISHOP YEATMAN (M.D.) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does STACEY E BISHOP YEATMAN (M.D.) list a practice location?
Patients near Cincinnati, Ohio may find STACEY E BISHOP YEATMAN (M.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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