Individual provider Active NPI

Stacy Marie Scofield-Kaplan, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Naperville, IL
National Provider Identifier
1841633989
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
036161494 Issued in IL
Practice address
636 Raymond Dr Ste 300
Naperville, IL 60563-9792
Phone
(331) 732-4370
Fax
(331) 732-4375
NPI assigned
Apr 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 036161494 IL Primary

Addresses

Primary practice location

636 Raymond Dr Ste 300
Naperville, IL 60563-9792

Mailing address

636 Raymond Dr Ste 300
Naperville, IL 60563-9792
Phone (331) 732-4370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170629001979 TX Practitioner - Ophthalmology 9032488333 Reassigns benefits to 1 organization
I20220827000478 IL Practitioner - Ophthalmology 9032488333 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Columbia University College of Physicians and Surgeons, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

636 Raymond Dr
Suite 107
Naperville, IL 60563-9789
Phone (630) 416-2300

636 Raymond Dr
Suite 300
Naperville, IL 60563-9792
Phone (630) 355-5302

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
276997NYMDLicensed Practical Nurse
036161494ILMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince Aug 1, 2022 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jun 7, 2017 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Central Dupage Physician Group CurrentSince Aug 1, 2022 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jun 14, 2023 Accepting new patients
University Hospital at Stony Brook Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jun 7, 2017 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jun 14, 2023 Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022

308 Randall Rd
Ste C
Geneva, IL 60134
Phone (331) 732-4370

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

636 Raymond Dr
Ste 300
Naperville, IL 60563
Phone (331) 732-4370

636 Raymond Dr
Ste 107
Naperville, IL 60563
Phone (630) 359-8396

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

101 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-2065

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

800 8th Ave
Ste 306
Fort Worth, TX 76104
Phone (817) 336-1300

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: stacy.scofieldkaplan@direct.stonybrookmedicine.edu

Organizations & group practices 8

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 4

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": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1841633989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 RAYMOND DR STE 300",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639792",
            "telephone_number": "331-732-4370",
            "fax_number": "331-732-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 RAYMOND DR STE 300",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639792",
            "telephone_number": "331-732-4370",
            "fax_number": "331-732-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOFIELD-KAPLAN",
        "first_name": "STACY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-08",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "036161494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.