STACEY FORNAROTTO (PA) – Medical Physician Assistant, NPI 1245204247
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
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Provider Addresses for STACEY FORNAROTTO (PA)
Allentown Post Office, 442, West Hamilton Street, Center City, Allentown, Lehigh County, Pennsylvania, 18102, United States
ALLENTOWN, PA 181051754
Phone:
Type: Mailing
2649 Medical Building, 2649, Schoenersville Road, Westgate Hills, Bethlehem, Northampton County, Pennsylvania, 18017, United States
STE 201
BETHLEHEM, PA 180177326
Phone: (610) 868-6880
Fax: (610) 868-5333
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: 2011-09-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110928000329 | I | Physician Assistant | PA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 236 | 175 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 90 | 90 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 48 | 48 | $0 |
| G0008 | Administration of influenza virus vaccine | 40 | 39 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 28 | 28 | $0 |
Insurance plans in this area (ZIP 18105)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | PA | 90670 | Pneumococcal vaccine for injection into muscle | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| H O S P I T A L I S T | PA | |
| - | PA | |
| - | PA | |
| Internal Medicine | PA | |
| Family Practice | PA | |
| A N E S T H E S I O L O G Y | PA | |
| - | PA | |
| - | PA | |
| Orthopedic Surgery | PA |
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