STANLEY R STACY (DO) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1225018757

STANLEY R STACY (DO) is a healthcare provider. based in Tulsa, Oklahoma. specializing in FAMILY PRACTICE, GENERAL PRACTICE. They hold the professional credentials DO. They hold a License No. 3054 (OK). The NPI Number for STANLEY R STACY (DO) is 1225018757

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
STANLEY R STACY (DO)
NPI
1225018757
Phone
(918) 230-9164
Address
7153 S YALE AVE
Enumeration Date
19 January 2006
Last Update Date
22 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9186199400
Graduation Year
1991 (35 years ago)
PAC ID
7416861620
Group Practice PAC ID
1557523131
Professional Enrollment ID
I20090729000243
Address ID
OK741336731TU10106RDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

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Provider Addresses for STANLEY R STACY (DO)

  • 7153, South Yale Avenue, Southridge Estates, Tulsa, Tulsa County, Oklahoma, 70136, United States

    TULSA, OK 741366308

    Phone: (918) 230-9164

    Type: Mailing

  • 10106 S SHERIDAN RD

    TULSA, OK 741336775

    Phone: (918) 230-9164

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Lilly USA, LLC ($57).

Total Amount

$105

General + Research + Ownership

Payments

6

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

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: 2009-07-29

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
I20090729000243IFamily PracticeOKTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes323196$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus235170$0
87804Detection test by immunoassay with direct visual observation for influenza virus21298$0
99214Established patient office or other outpatient visit, 30-39 minutes186133$0
99203New patient office or other outpatient visit, 30-44 minutes163163$0
View full utilization report →

Insurance plans in this area (ZIP 74136)

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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: 1557523131View full group profile
NameSpecialtyState
Physician AssistantKS

Reviews

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Frequently asked questions

Does STANLEY R STACY (DO) have a public NPI I can cite?
Public records show STANLEY R STACY (DO) under NPI 1225018757.
Quick check: is STANLEY R STACY (DO) active?
Public NPPES data shows STANLEY R STACY (DO) with an active NPI status right now.
What services align with STANLEY R STACY (DO)'s listing?
STANLEY R STACY (DO)'s public classification highlights Emergency Medical Services (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is STANLEY R STACY (DO) tied to Tulsa, Oklahoma?
If you are local to Tulsa, Oklahoma, STANLEY R STACY (DO) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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