STACEY HOLLAWAY (MD) – Internal Medicine Physician, NPI 1922064906

STACEY HOLLAWAY (MD) is a healthcare provider. based in Louisville, Ohio. specializing in INTERNAL MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 35-062821H (OH). The NPI Number for STACEY HOLLAWAY (MD) is 1922064906

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
STACEY HOLLAWAY (MD)
NPI
1922064906
Phone
Not provided
Address
8062 N NICKELPLATE ST
Enumeration Date
26 April 2006
Last Update Date
21 August 2012

Doctor Profile

Medical School Name
NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
3304993377
Graduation Year
1985 (41 years ago)
PAC ID
8527952597
Group Practice PAC ID
6709770779
Professional Enrollment ID
I20100325000136
Address ID
OH447183613CA4810XNWXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,199 INTERNAL MEDICINE in OH

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Provider Addresses for STACEY HOLLAWAY (MD)

  • North Nickelplate Street, Louisville, Stark County, Ohio, 44641, United States

    LOUISVILLE, OH 446419543

    Phone:

    Type: Mailing

  • Modern Hearing Solutions - Canton Audiologist, Munson Street Northwest, Jackson Township, Stark County, Ohio, 44718, United States

    CANTON, OH 447183613

    Phone: (330) 499-3377

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 222 Open Payments records for all available years, with a total value of $4,282.

Total Amount is formed as General ($4,282) + Research ($0) + Ownership ($0) = $4,282.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($783).

Total Amount

$4,282

General + Research + Ownership

Payments

222

Total payment records

General Amount

$4,282

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2010-03-25

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
I20100325000136IInternal 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
99214Established patient office or other outpatient visit, 30-39 minutes324159$0
99213Established patient office or other outpatient visit, 20-29 minutes223145$0
81003Automated urinalysis test11093$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit104104$0
G0444Annual depression screening, 5 to 15 minutes9898$0
View full utilization report →

Insurance plans in this area (ZIP 44641)

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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: 6709770779View full group profile
NameSpecialtyState
Pediatric Medicine, Internal MedicineOH

Reviews

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Frequently asked questions

Does STACEY HOLLAWAY (MD) have a public NPI I can cite?
Public records show STACEY HOLLAWAY (MD) under NPI 1922064906.
Should I treat STACEY HOLLAWAY (MD) as an active provider?
Patients and plans typically see STACEY HOLLAWAY (MD) as active in the national extract.
What does the directory say STACEY HOLLAWAY (MD) does?
Insurance directories may phrase it differently, but here STACEY HOLLAWAY (MD) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to STACEY HOLLAWAY (MD)?
STACEY HOLLAWAY (MD) shows a connection to Louisville, Ohio in registry-derived data.
Who maintains STACEY HOLLAWAY (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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