STACEY LOUISE MAZZACCO (MD) – Vascular Surgery Physician, NPI 1265413207

STACEY LOUISE MAZZACCO (MD) is a healthcare provider. based in Lancaster, Pennsylvania. specializing in VASCULAR SURGERY, GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. MD053932L (PA). The NPI Number for STACEY LOUISE MAZZACCO (MD) is 1265413207

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
STACEY LOUISE MAZZACCO (MD)
NPI
1265413207
Phone
(717) 544-3626
Address
2104 HARRISBURG PIKE STE 200
Enumeration Date
8 November 2005
Last Update Date
30 September 2020

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7175603782
Graduation Year
1988 (38 years ago)
PAC ID
8921122961
Group Practice PAC ID
0941103683
Professional Enrollment ID
I20100929000547
Address ID
PA176022250LA555XXFLOO601
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

371 VASCULAR SURGERY in PA

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Provider Addresses for STACEY LOUISE MAZZACCO (MD)

  • Harrisburg Pike, Lancaster, Lancaster County, Pennsylvania, 17604, United States

    LANCASTER, PA 176012644

    Phone: (717) 544-3626

    Fax: (717) 544-3628

    Type: Mailing

  • Surgical Group, 2104, Harrisburg Pike, McGovernsville, Rohrerstown, Lancaster County, Pennsylvania, 17601, United States

    STE 200

    LANCASTER, PA 176012644

    Phone: (717) 544-3626

    Fax: (717) 544-3628

    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: 2010-09-29

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
I20100929000547IVascular SurgeryPATBD

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 minutes6652$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2320$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 17601)

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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: 0941103683View full group profile
NameSpecialtyState
Family Practice, Addiction MedicinePA
N E U R O L O G YNY
H E M A T O L O G Y/ O N C O L O G YPA
-PA
Epileptologists, NeurologyPA
-PA
Nurse PractitionerPA
-PA
Family PracticePA
Family PracticePA

Reviews

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Frequently asked questions

Can I use this page to confirm STACEY LOUISE MAZZACCO (MD)'s NPI?
Yes. STACEY LOUISE MAZZACCO (MD) is listed with NPI 1265413207 in the public NPI dataset.
Can I rely on STACEY LOUISE MAZZACCO (MD) being an active provider?
As of the registry snapshot, STACEY LOUISE MAZZACCO (MD) is marked active.
What taxonomy line describes STACEY LOUISE MAZZACCO (MD)?
For research purposes, treat STACEY LOUISE MAZZACCO (MD) as Vascular Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is STACEY LOUISE MAZZACCO (MD) based?
STACEY LOUISE MAZZACCO (MD) is tied to Lancaster, Pennsylvania in the data we show; additional addresses may exist on the full record.
Is the information about STACEY LOUISE MAZZACCO (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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