Stacie A McMurtry, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

036092889 Issued in IL

Practice address

1800 Hollister Dr Ste 210
Libertyville, IL 60048-5266

Phone

(847) 549-7711

Fax

(847) 549-1020

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Allergy/Immunology

Education

University of Michigan Medical School, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PSF PLLCGroup PAC ID 1557265543, 98 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.25 of 100Reported as group

Quality

86.03

Promoting interoperability

86

Improvement activities

40

Cost

73.15

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• PSF PLLC

  • Allergy & Immunology Physician
  • Louisville, KY
  • NPI 1881785947

  IL

  Medicare reassignment Care Compare group NPD
• Allergy & Asthma Consultants, LTD.

  • Allergy Physician
  • Gurnee, IL
  • NPI 1093892457
  NPD

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1407955214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SHELBYVILLE RD",
            "address_2": "STE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232992",
            "telephone_number": "502-429-8585",
            "fax_number": "855-656-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOLLISTER DR STE 210",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485266",
            "telephone_number": "847-549-7711",
            "fax_number": "847-549-1020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36100 N Brookside Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Gurnee",
            "state": "IL",
            "postal_code": "600314573",
            "country_code": "US",
            "telephone_number": "847-855-1570",
            "fax_number": "847-855-1890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMURTRY",
        "first_name": "STACIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "IL",
            "license": "036092889",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036092889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyndsey Marie McIntyre
• Syrena McKay, LSW
• Lindsay R McKenzie, NP-C
• Laura M. McLaughlin-Kantowicz, MSW, LCSW, MAEL
• Christopher Ryan McLeod
• Dana Allen McNeir, DDS
• Robert McNulty, LAT, ATC
• Medical Arts Unlimited Inc
• Medical Logistics LLC
• Nicole Medina, LSW

• Allergy & Immunology Physician in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Allergy & Immunology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.