Stacy B. Booth, PA-C
NPI 1821002502ActiveIndividual· Physician Assistant, Surgical· Mobile, AL
Physician Assistant, Surgical (PA-C) in Mobile, Alabama, trained at University of South Alabama College of Medicine (class of 1998). Part D covered 98 prescriptions written in 2024, 90% of them generic.
Overview
| NPI | 1821002502 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jul 28, 2006 |
| Last updated in NPPES | Feb 3, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA-472 | AL |
| Physician Assistant | 363A00000X | PA.472 | AL |
| Emergency Medicine | 207P00000X | PA.472 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (OR); Practitioner - Physician Assistant (WA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 98 · 120 30-day fills |
|---|---|
| Patients | 52 |
| Total drug cost | $3,831 |
| Generic share | 90% of claims |
Education and affiliations
| Medical school | University of South Alabama College of Medicine |
|---|---|
| Graduation year | 1998 |
| Medicare specialty | Physician Assistant |
Medical group
- Kaiser Foundation Health Plan of the NorthwestSalem, OR · 1,807 clinicians
Hospital affiliation
- Kaiser Sunnyside Medical CenterClackamas, OR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 23 surgical physician assistants in Mobile · All surgical physician assistants in Alabama