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Holly Stacey, MD

NPI 1083276380ActiveIndividual· Pediatrics· Syracuse, NY

Pediatrics (MD) in Syracuse, New York, licensed in NY, with an NPI issued in July 2019. Enrolled in Medicare as practitioner - pediatric medicine.

Overview

NPI1083276380
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedJul 8, 2019
Last updated in NPPESAug 17, 2023
Certified by providerJun 12, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Pediatrics Primary208000000X321954NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Pediatric Medicine (NY)

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Pediatrics providers in Syracuse

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