JOANNA STACEY (MD) – Obstetrics & Gynecology Physician, NPI 1093781569

JOANNA STACEY (MD) is a healthcare provider. based in Dallas, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. N1904 (TX). The NPI Number for JOANNA STACEY (MD) is 1093781569

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
JOANNA STACEY (MD)
NPI
1093781569
Phone
(254) 724-2111
Address
PO BOX 844658
Enumeration Date
24 February 2006
Last Update Date
30 October 2020

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
2547242459
Graduation Year
2000 (26 years ago)
PAC ID
9537130521
Group Practice PAC ID
8123923604
Professional Enrollment ID
I20100913000148
Address ID
TX765080001TE2401XSTXX400

Contacts

Secure Messaging
jstacey14332@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,164 OBSTETRICS/GYNECOLOGY in TX

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Provider Addresses for JOANNA STACEY (MD)

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752844658

    Phone: (254) 724-2111

    Type: Mailing

  • Baylor Scott & White Medical Center - Temple, 2401, South 31st Street, Temple, Bell County, Texas, 76508, United States

    TEMPLE, TX 765084404

    Phone: (254) 724-2111

    Fax: (254) 724-7603

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $8,650.

Total Amount is formed as General ($8,650) + Research ($0) + Ownership ($0) = $8,650.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Organon LLC ($8,423).

Total Amount

$8,650

General + Research + Ownership

Payments

14

Total payment records

General Amount

$8,650

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2010-09-13

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
I20100913000148IObstetrics/GynecologyTXTBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1313$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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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: 8123923604View full group profile
NameSpecialtyState
Radiation OncologyTX
U R O L O G YTX
General SurgeryOK
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Anesthesiology AssistantTX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

How do I look up JOANNA STACEY (MD) by NPI?
Use NPI 1093781569 when you need to reference JOANNA STACEY (MD) in forms, claims, or directories.
Is JOANNA STACEY (MD)'s NPI currently valid?
The extract we use shows JOANNA STACEY (MD) as active.
Does JOANNA STACEY (MD) list a primary specialty?
If you are matching referrals, note Obstetrics & Gynecology Physician for JOANNA STACEY (MD). Clinical services aligned with this taxonomy classification.
Does JOANNA STACEY (MD) practice in Texas?
You will see Dallas, Texas on file for JOANNA STACEY (MD) alongside any extra practice locations.
Is JOANNA STACEY (MD) a real provider?
This page reflects official NPPES data for NPI 1093781569. Always confirm identity and privileges with the practice and licensing boards.

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