Stacey L. Cacchio, M.D.

Key facts

NPI

1245447606

Entity type

Individual (NPI type 1)

Primary specialty

Obstetrics & Gynecology Physician 207V00000X

License

57.012622 (OH)

Practice address

5150 Bradenton Ave
Dublin, OH 43017-7588

Phone

(614) 459-1000

Fax

(614) 459-1382

NPI assigned

May 16, 2007

Sex

Female

Sole proprietor

No

Organizations & group practices 4

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.

• Maternohio Clinical Associates LLC Specialist · Columbus, OH · NPI 1013008192
  Medicare reassignment Care Compare group NPD OH
• Lima Memorial Joint Operating Company General Acute Care Hospital · Lima, OH · NPI 1336144732
  NPD (past)
• Ohiohealth Corporation General Acute Care Hospital · Columbus, OH · NPI 1467484972
  NPD (past)
• Ohiohealth Corporation General Acute Care Hospital · Dublin, OH · NPI 1801937008
  NPD (past)

Hospital & facility affiliations 2

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

• Ohiohealth Corporation General Acute Care Hospital · Columbus, OH · NPI 1467484972
  Care Compare affiliation Hospital
• Ohiohealth Corporation Clinical Medical Laboratory · Columbus, OH · NPI 1710916945
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Obstetrics/Gynecology

Education

Wright State University Boonshoft School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maternohio Clinical Associates LLC (56 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverside Methodist Hospital Hospital · Columbus, OH · CCN 360006

Merit-based Incentive Payment System (MIPS)

Final score

96.6 of 100 (group)

Promoting interoperability

96

Improvement activities

40

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacey.cacchio.1@32503.direct.athenahealth.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: stacey.cacchio@mcai-oh.direct.office.nextgen.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 24, 2011.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1245447606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 BRADENTON AVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177588",
            "telephone_number": "614-459-1000",
            "fax_number": "614-459-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 BRADENTON AVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177588",
            "telephone_number": "614-459-1000",
            "fax_number": "614-459-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACCHIO",
        "first_name": "STACEY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "57.012622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Dublin, OH · Obstetrics & Gynecology Physician in Ohio