DR. STACY ANNE BACON (M.D.) – Orthopaedic Foot and Ankle Surgery Physician, NPI 1013962810
Orthopaedic Foot and Ankle Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. STACY ANNE BACON (M.D.)
11800 Fm 1960 Rd W
Houston, TX 770653840
Phone: (281) 664-2107
Fax: (281) 955-5875
Type: Location
Lake Houston Church of the Nazarene, FM 1960, Kingwood Glen, Atascocita, Harris County, Texas, 77346, United States
HOUSTON, TX 770653840
Phone: (281) 664-2107
Fax: (281) 955-5875
Type: Mailing
Northwest Freeway, Cypress, Harris County, Texas, 77429, United States
CYPRESS, TX 774295889
Phone: (281) 955-7577
Fax: (281) 955-5875
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: 2005-07-08
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 |
|---|---|---|---|---|
| I20050708000218 | I | Orthopedic Surgery | TX | 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 77065)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | TX | 73630 | X-ray of foot, minimum of 3 views | 399 | 219 |
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