DR. STACY RENEE ROBERTS – Audiologist, NPI 1871981423

DR. STACY RENEE ROBERTS is a healthcare provider. based in Vandalia, Ohio. specializing in QUALIFIED AUDIOLOGIST. They hold a License No. A01862 (OH). The NPI Number for DR. STACY RENEE ROBERTS is 1871981423

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. STACY RENEE ROBERTS
NPI
1871981423
Phone
(937) 492-9982
Address
416 ATTICA ST
Enumeration Date
6 January 2015
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9374407872
Graduation Year
2013 (13 years ago)
PAC ID
9335403641
Group Practice PAC ID
8921022260
Professional Enrollment ID
I20180511002213
Address ID
OH453732334TR31XXXRDXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

412 QUALIFIED AUDIOLOGIST in OH

Provider Addresses for DR. STACY RENEE ROBERTS

  • 416 ATTICA ST

    VANDALIA, OH 453771810

    Phone: (937) 492-9982

    Fax: (937) 492-6420

    Type: Mailing

  • 4222 Grand Ave

    Middletown, OH 450446129

    Phone: (513) 420-4678

    Fax: (513) 420-4705

    Type: Location

  • 31 S Stanfield Rd Ste 304

    Troy, OH 453732334

    Phone: (937) 440-7872

    Fax: (937) 440-7874

    Type: Location

  • 2040 MICHIGAN ST

    SIDNEY, OH 453659004

    Phone: (937) 492-9982

    Fax: (937) 492-6420

    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: 2018-05-11

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
I20180511002213IQualified AudiologistOHTBD

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
92567Test to assess middle ear function307301$0
92557Comprehensive hearing and speech recognition test269266$0
92552Test for hearing various pitches using earphone5453$0
92556Test for ability to detect and repeat spoken words with speech recognition5150$0
92537Test to assess balance during warm and cool irrigation in both ears2121$0
View full utilization report →

Insurance plans in this area (ZIP 45377)

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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: 8921022260View full group profile
NameSpecialtyState
Nurse PractitionerOH
Mental Health CounselorOH
-OH
O T O L A R Y N G O L O G YOH
Orthopedic SurgeryOH
O T O L A R Y N G O L O G YOH
Qualified AudiologistOH
-OH
Mental Health CounselorOH
General SurgeryOH

Reviews

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Frequently asked questions

Can I verify DR. STACY RENEE ROBERTS with an NPI only?
You can start verification with NPI 1871981423 for DR. STACY RENEE ROBERTS, then check state licensing separately.
Does CMS list DR. STACY RENEE ROBERTS as active?
Yes — DR. STACY RENEE ROBERTS is active in the NPI listing used on this page.
What is DR. STACY RENEE ROBERTS best known for clinically?
Directory data describes DR. STACY RENEE ROBERTS with Audiologist. Clinical services aligned with this taxonomy classification.
What area does DR. STACY RENEE ROBERTS serve?
DR. STACY RENEE ROBERTS's listing highlights Vandalia, Ohio; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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