Individual provider Active NPI

Stacy Michelle Stephenson, MD

  • Plastic Surgery Physician
  • Knoxville, TN
National Provider Identifier
1053531012
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
50600 Issued in TN
Practice address
1930 Alcoa Hwy
Suite 235
Knoxville, TN 37920-1500
Phone
(865) 305-4670
Fax
(865) 305-4671
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X P17006 MD
Plastic Surgery Physician 208200000X 50600 TN Primary

Addresses

Primary practice location

1930 Alcoa Hwy
Suite 235
Knoxville, TN 37920-1500

Mailing address

PO Box 440445
Nashville, TN 37244-0445
Phone (865) 670-6199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140402001697 TN Practitioner - Plastic and Reconstructive Surgery 8325162118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Ohio State University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1924 Alcoa Hwy
Knoxville, TN 37920-1511

1930 Alcoa Hwy
Knoxville, TN 37920-1510

1930 Alcoa Hwy 235
Knoxville, TN 37920-1510
Phone (865) 305-4670

Hospital & facility affiliations

  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy16
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50600TNMDPlastic Surgery Physician
P17006MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc Plastic Surgery CurrentSince Apr 30, 2014 Accepting new patients
University Health System, Inc Current Accepting new patients
University Health System Inc CurrentSince Apr 30, 2014 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Knoxville Neurology Specialists, PLLC Past Accepting new patients

Locations

281 Cusick Rd
Alcoa, TN 37701
Phone (865) 970-0025

1930 Alcoa Hwy
Ste 235
Knoxville, TN 37920
Phone (865) 305-4670

1934 Alcoa Hwy
Ste 362
Knoxville, TN 37920
Phone (865) 305-4670

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1053531012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440445",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440445",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY",
            "address_2": "SUITE 235",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201500",
            "telephone_number": "865-305-4670",
            "fax_number": "865-305-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "STACY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "P17006",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "50600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.