Stacy Brueckner
NPI 1396140968ActiveIndividual· Family Medicine· Hermiston, OR
Family Medicine in Hermiston, Oregon, trained at Western University of Health Sciences College of Dental Med (class of 2016). Their prescriptions cost Medicare Part D more than their services did: $331,579 for 3,823 claims, against $4,150 paid for services in 2024.
Overview
| NPI | 1396140968 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 25, 2014 |
| Last updated in NPPES | Mar 4, 2021 |
| Certified by provider | Mar 4, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | DO195341 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 61 |
|---|---|
| Services billed | 116 across 33 procedure codes |
| Paid by Medicare | $4,150 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,823 · 7,873 30-day fills |
|---|---|
| Patients | 271 |
| Total drug cost | $331,579 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | Western University of Health Sciences College of Dental Med |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Family Practice |
Medical group
- Salem HealthSalem, OR · 454 clinicians
Hospital affiliations
- Good Shepherd Medical CenterHermiston, OR
- Legacy Meridian Park Medical CenterTualatin, OR
- Legacy Silverton Medical CenterSilverton, OR
- Salem Health West ValleyDallas, OR
- Salem HospitalSalem, OR
Other facilities
- Amedisys Home Health CareHome health agency · Salem, OR
- Providence Benedictine Home HealthHome health agency · Mount Angel, OR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Family Medicine providers in Hermiston
- 1174604839
- 1467403329
- 1083565709
- 1124060090
- 1629307087
- 1669537106
- 1538241799
- 1356423503
- 1841372059
- 1952307183
- 1356083950
- 1922495035