MICHAEL LEE STACK (M.D.) – Obstetrics & Gynecology Physician, NPI 1316943301
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
898 OBSTETRICS/GYNECOLOGY in TN
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Provider Addresses for MICHAEL LEE STACK (M.D.)
West Sarazens Circle, Memphis, Shelby County, Tennessee, 38138, United States
MEMPHIS, TN 381250806
Phone: (901) 512-6086
Fax: (866) 230-7816
Type: Mailing
6215 HUMPHREYS BLVD STE 200
MEMPHIS, TN 381202382
Phone: (901) 512-6086
Fax: (833) 450-5323
Type: Location
7796 Wolf Trail Cv Ste 202
Germantown, TN 381381783
Phone: (901) 512-6086
Fax: (866) 230-7816
Type: Location
7796 WOLF TRAIL CV STE 202
GERMANTOWN, TN 381381783
Phone: (901) 512-6086
Fax: (866) 230-7816
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $251.
Total Amount is formed as General ($251) + Research ($0) + Ownership ($0) = $251.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: MILLICENT US INC ($53).
Total Amount
$251
General + Research + Ownership
Payments
11
Total payment records
General Amount
$251
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2006-05-08
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 |
|---|---|---|---|---|
| I20060508000817 | I | Obstetrics/Gynecology | TN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 38125)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | AL | |
| Nurse Practitioner | TN | |
| Family Practice | TN | |
| General Surgery, Gastroenterology | TN | |
| Physician Assistant | TN | |
| Family Practice | NC | |
| Orthopedic Surgery | TN | |
| Pulmonary Disease | TN | |
| Internal Medicine | TN | |
| D E R M A T O L O G Y | FL |
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