Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Stacy Edgar , PA-C

Physician Assistant โ€ข Marietta, OH

Active NPI 1396254009 Individual Practitioner Female Practitioner
Practice location in NPPES

401 Matthew St
Marietta, OH 457501635

Call 7403761939 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

401 Matthew St

Marietta, OH 457501635

Telephone 7403761939
Fax 7403741693
Organization at the Same NPPES Address or Phone
Marietta Memorial Hospital Facility NPI 1215936927

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare-allowed amount

About $1,881 in 2023

The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

Paid by Medicare

About $1,161 in 2023

The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

30-day fills

62 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$538 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $18.77 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Stacy Edgar has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Stacy Edgar as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Marietta and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 85% of clinicians listed under Physician Assistant in Marietta, OH (2024, 27 clinicians with data). Median for this group: 218. Middle half: 132 to 813.

Fewer Part D prescriptions than 75% of clinicians listed under Physician Assistant in Ohio (2024, 2,821 clinicians with data). Median for this group: 212. Middle half: 71 to 708.

Part D drug cost

A lower Part D drug cost than 85% of clinicians listed under Physician Assistant in Marietta, OH (2024, 27 clinicians with data). Median for this group: $2,038. Middle half: $1,131 to $207,828.

A lower Part D drug cost than 70% of clinicians listed under Physician Assistant in Ohio (2024, 2,821 clinicians with data). Median for this group: $2,158. Middle half: $495 to $43,005.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Stacy Edgar are from 2023.

73 active clinicians are listed under Physician Assistant with a practice address in Marietta, OH (5,329 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Marietta

9.6% of these 73 clinicians have the CMS telehealth indicator.

45.2% of these 73 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2024

Program year 2024 (payments made January 1 โ€“ December 31, 2024): fewer than 11 records totaling $18.77.

Manufacturer Payment Nature Product Type Amount ($)
Bristol Myers Squibb Company
Food and Beverage
Cash or cash equivalent
ELIQUIS General $18.77

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2023.

CMS Part B ยท Data Year 2023
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ€“2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2018โ€“2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
26 26 $253.50 $72.35

Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Cephalexin Cephalexin 23 209 $371.48 23
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 15 53 $53.26 15
Prednisone Prednisone 13 65 $17.36 13
Doxycycline Hyclate Doxycycline Hyclate 11 115 $96.17 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OH 50.007774RX

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES SC 3013

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES VA 0110007485

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

License # reported to NPPES IN 10002314A
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20221012003770

Enrollment State Jurisdiction

OH

PECOS Control ID

4486929312

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

33 listed
Dr. Uchenna Aguwa , DO

Emergency Medicine

NPI 1164625950

Doctor of Osteopathic Medicine (D.O.)

Dr. Shannon Altazan , DO

Emergency Medicine

NPI 1477057883

Doctor of Osteopathic Medicine (D.O.)

Dr. Linette Archer , MD

Emergency Medicine

NPI 1811913742

Doctor of Medicine (M.D.)

Amber Aultman , NP

Nurse Practitioner - Family

NPI 1336527985

Nurse Practitioner

Dr. Maxwell Beers , MD

Emergency Medicine

NPI 1154066454

Doctor of Medicine (M.D.)

Dr. Thomas Brandes , DO

Emergency Medicine

NPI 1265446454

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

27 Historical Events
๐Ÿ“
Updated Practice Location August 13, 2025

Registered at 401 MATTHEW ST, MARIETTA, OH 457501635 (Tel: 7403761939)

๐Ÿ“
Updated Business Mailing Address August 13, 2025

Registered at 401 MATTHEW ST, MARIETTA, OH 457501635 (Tel: 3044830515)

๐Ÿ“
Updated Practice Location November 08, 2022

Registered at 800 PIKE ST STE 2, EXPRESS CARE MARIETTA, MARIETTA, OH 457503507 (Tel: 7403733960)

๐Ÿ“
Updated Business Mailing Address November 08, 2022

Registered at 800 PIKE ST STE 2, MARIETTA, OH 457503507 (Tel: 3044830515)

๐Ÿ“
Updated Practice Location September 13, 2022

Registered at 800 PIKE ST STE 2, MARIETTA, OH 457503507 (Tel: 7403733960)

๐Ÿ“
Updated Business Mailing Address June 14, 2021

Registered at 5000 COX RD, GLEN ALLEN, VA 230609263 (Tel: 8048224355)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2021

Physician Assistant (license number reported to NPPES: SC 3013)

๐Ÿ“
Updated Practice Location December 01, 2020

Registered at 8110 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 232355116 (Tel: 8043208160)

๐Ÿ“
Updated Business Mailing Address December 01, 2020

Registered at PO BOX 758952, BALTIMORE, MD 212758952

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2020

Physician Assistant (license number reported to NPPES: VA 0110007485)

๐Ÿ“
Updated Practice Location December 04, 2019

Registered at 101 E WOOD ST, SPARTANBURG, SC 293033040 (Tel: 8645606000)

๐Ÿ“
Updated Business Mailing Address December 04, 2019

Registered at PO BOX 743070, ATLANTA, GA 303743070

๐Ÿ‘ค
Provider Name / Credentials Updated December 04, 2019

Recorded as STACY EDGAR, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2019

Physician Assistant (license number reported to NPPES: SC 3013)

๐Ÿ“
Updated Practice Location August 25, 2018

Registered at 2498 N PLEASANTBURG DR, GREENVILLE, SC 29609 (Tel: 8643055000)

๐Ÿ“
Updated Business Mailing Address August 25, 2018

Registered at 2498 N PLEASANTBURG DR, GREENVILLE, SC 296092730 (Tel: 8643055000)

โœ…
NPI Profile Active October 25, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location October 25, 2017

Registered at 2401 W UNIVERSITY AVE, MUNCIE, IN 473033428 (Tel: (765) 751-1720)

๐Ÿ“
Updated Business Mailing Address October 25, 2017

Registered at 2401 W UNIVERSITY AVE, MUNCIE, IN 473033428 (Tel: 7657511720)

๐Ÿ‘ค
Provider Name / Credentials Updated October 25, 2017

Recorded as STACY BLAKE, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2017

Physician Assistant (license number reported to NPPES: IN 10002314A)

โœ…
NPI Profile Active September 26, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) September 26, 2017

Registered at 2401 W UNIVERSITY AVE, MUNCIE, IN 473033428 (Tel: (765) 751-1720)

๐Ÿ“
Business Mailing Address (Initial Record) September 26, 2017

Registered at 2401 W UNIVERSITY AVE, MUNCIE, IN 473033428 (Tel: 7657511720)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) September 26, 2017

Recorded as STACY BLAKE, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2017

Physician Assistant (license number reported to NPPES: IN 10002314A)

๐ŸŸข
Initial NPI Registration & Enumeration September 26, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1396254009
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2017
Last Update: August 13, 2025
Sole Proprietor: Yes

Other Physician Assistants in Marietta

All Physician Assistants in Marietta

Mailing Address

401 Matthew St

Marietta, OH 457501635

Phone: 3044830515

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.