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Dr. Stacy Echetebu , MD

Pediatrics β€’ Tyler, TX

Active NPI 1528497955 Individual Practitioner Female Practitioner
Practice location in NPPES

1000 E 5th St Ste 100
Tyler, TX 757013307

Call 9035905000 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

1000 E 5th St Ste 100

Tyler, TX 757013307

Telephone 9035905000
Fax 9035905005

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Texas Tech University Health Science Center School Of Medicine

Graduation Year

2025

Open Payments general payments, program year 2025

All general payments: $153.78 across 6 records.

By nature of payment

  • Food and Beverage: $153.78 across 6 records.

Reporting-company totals (3 largest of 5)

  • Corium, LLC: $58.04 across 2 records.
  • Merck Sharp & Dohme LLC: $25.50 across 1 record.
  • Bayer Healthcare Pharmaceuticals Inc.: $23.73 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2013

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.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

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, β€œDoes your provider accept Medicare as full payment?”

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)

Dr. Echetebu 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 Dr. Echetebu 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 Tyler and Texas

54 active clinicians are listed under Pediatrics with a practice address in Tyler, TX (5,642 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tyler

0% of these 54 clinicians have the CMS telehealth indicator.

3.7% of these 54 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· 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 Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $153.78.

Manufacturer Payment Nature Product Type Amount ($)
Corium, LLC
Food and Beverage
In-kind items and services
Azstarys General $31.68
Corium, LLC
Food and Beverage
In-kind items and services
Azstarys General $26.36
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
ENFLONSIA General $25.50
Bayer Healthcare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Kerendia General $23.73
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $23.32
Collegium Pharmaceutical, Inc.
Food and Beverage
Cash or cash equivalent
Jornay PM General $23.19

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-25
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES TX V7505

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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: Texas Medical Board.
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 - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20250818000859

Enrollment State Jurisdiction

TX

PECOS Control ID

6901305911

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.

1 listed
NPI 1457648974

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events
πŸ“
Updated Practice Location July 25, 2025

Registered at 1000 E 5TH ST STE 100, TYLER, TX 757013307 (Tel: 9035905000)

πŸ“
Updated Business Mailing Address July 25, 2025

Registered at 1000 E 5TH ST STE 100, TYLER, TX 757013307 (Tel: 9035905000)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2025

Pediatrics (license number reported to NPPES: TX V7505)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2022

Student in an Organized Health Care Education/Training Program (license number reported to NPPES: TX BP10081529)

πŸ“
Updated Practice Location May 19, 2022

Registered at 4801 ALBERTA AVE, EL PASO, TX 799052707 (Tel: 2026426631)

πŸ“
Updated Business Mailing Address May 19, 2022

Registered at 4801 ALBERTA AVE, EL PASO, TX 799052707

πŸ‘€
Provider Name / Credentials Updated May 19, 2022

Recorded as STACY ECHETEBU, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2022

Student in an Organized Health Care Education/Training Program

βœ…
NPI Profile Active May 29, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 29, 2014

Registered at 3112 SPRIGGS REQUEST WAY, BOWIE, MD 207212616 (Tel: 2026426631)

πŸ“
Business Mailing Address (Initial Record) May 29, 2014

Registered at 3112 SPRIGGS REQUEST WAY, BOWIE, MD 207212616

πŸ‘€
Provider Name / Credentials (Initial Record) May 29, 2014

Recorded as STACY ANGU

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2014

Home Health Aide (license number reported to NPPES: DC HHA9451)

🟒
Initial NPI Registration & Enumeration November 06, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1528497955
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2013
Last Update: July 25, 2025
Sole Proprietor: No

Other Pediatrics Specialists in Tyler

All Pediatrics Specialists in Tyler

Mailing Address

1000 E 5th St Ste 100

Tyler, TX 757013307

Phone: 9035905000

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.