STACY GOODE (MD) – Family Medicine Physician, NPI 1225248784

STACY GOODE (MD) is a healthcare provider. based in Marietta, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 27479 (AL). The NPI Number for STACY GOODE (MD) is 1225248784

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
STACY GOODE (MD)
NPI
1225248784
Phone
(580) 276-2400
Address
301 WANDA ST
Enumeration Date
23 May 2007
Last Update Date
11 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
5802762400
Graduation Year
2004 (22 years ago)
PAC ID
1052497591
Group Practice PAC ID
4880580950
Professional Enrollment ID
I20230929000877
Address ID
OK734481229MA301XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

1,754 FAMILY PRACTICE in AL

Provider Addresses for STACY GOODE (MD)

  • 301 WANDA ST

    MARIETTA, OK 734481229

    Phone: (580) 276-2400

    Type: Mailing

  • PO BOX 91627

    MOBILE, AL 366911627

    Phone: (251) 654-4607

    Type: Mailing

  • 101 CRESTVIEW AVE

    EVERGREEN, AL 364013333

    Phone: (251) 654-4607

    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 $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-06-22 • Largest payer in this snapshot: ABBVIE INC. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$13
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: 2023-09-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080916000415IFamily PracticeTXTBD
I20230929000877IFamily 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
99214Established patient office or other outpatient visit, 30-39 minutes5341$0
99213Established patient office or other outpatient visit, 20-29 minutes2120$0
View full utilization report →

Insurance plans in this area (ZIP 73448)

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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: 4880580950View full group profile
NameSpecialtyState
Family Practice, PsychiatryOK
Family PracticeOK
-OK
Family Practice, Emergency MedicineTN
-OK
Family PracticeKS

Reviews

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Frequently asked questions

What NPI should I save for STACY GOODE (MD)?
Save NPI 1225248784 if you need a stable reference for STACY GOODE (MD).
Is STACY GOODE (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does STACY GOODE (MD) treat or focus on?
Patients typically see STACY GOODE (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for STACY GOODE (MD)?
The page summarizes Marietta, Oklahoma for STACY GOODE (MD); expand the address list for detail.
Is STACY GOODE (MD) a real provider?
This page reflects official NPPES data for NPI 1225248784. Always confirm identity and privileges with the practice and licensing boards.

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