Active NPI 1174773808 Individual Practitioner Female Practitioner

Stacy Nicole Ross , PA-C

Physician Assistant • Fresno, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stacy Ross, PA-C is a certified Physician Assistant practicing in Fresno, CA. With approximately 18 years of clinical experience since completing medical education in 2008, Stacy Ross delivers high-quality medical care to the local community at 1510 E HERNDON AVE STE 230.

Stacy Ross is affiliated with Community Foundation Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1510 E Herndon Ave Ste 230

Fresno, CA 937203392

Telephone 5594502663

Fax 5594502724

Associated Practice Facility / Clinic

🏢 Sierra Pacific Surgery Center Llc Facility NPI 1942245725

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fresno, CA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs +7.1 yrs vs City Avg

City Avg: 10.9 Yrs

State Avg: 11.5 Yrs

Regional Practice Density

194 Specialists

Practicing in Fresno, CA (14617 Statewide)

Telehealth Adoption Rate

8.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ross (18 Years) 18 Yrs

Fresno Specialty Average (10.9 Years) 10.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	408	220	$277.00	$108.61
99213 Established patient office or other outpatient visit, typically 15 minutes	160	119	$189.00	$77.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$347.00	$143.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	200	138	$277.00	$107.46
99213 Established patient office or other outpatient visit, typically 15 minutes	70	65	$189.00	$77.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$347.00	$143.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7322 Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg	2,550	45	$49.00	$32.41
20610 Aspiration and/or injection of fluid from large joint	468	207	$266.96	$63.65
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	385	11	$52.00	$18.32
99213 Established patient office or other outpatient visit, typically 15 minutes	307	256	$211.00	$66.95
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	276	80	$418.00	$144.82
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	139	31	$481.00	$131.99
73562 X-ray of knee, 3 views	109	81	$105.00	$36.00
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	34	28	$1595.00	$1138.50
73030 X-ray of shoulder, minimum of 2 views	33	31	$85.00	$30.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$311.00	$96.67
J1030 Injection, methylprednisolone acetate, 40 mg	24	21	$15.00	$5.98
J1040 Injection, methylprednisolone acetate, 80 mg	21	16	$20.48	$11.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$310.00	$94.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	826	399	$211.00	$65.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	74	$310.00	$95.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$473.00	$142.85
72110 X-ray of lower and sacral spine, minimum of 4 views	33	33	$144.00	$45.70
72100 X-ray of lower and sacral spine, 2-3 views	20	20	$103.00	$32.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	882	455	$211.00	$63.95
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$103.00	$31.35
72110 X-ray of lower and sacral spine, minimum of 4 views	12	12	$144.00	$43.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$310.00	$94.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	796	459	$211.00	$64.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	43	$310.00	$94.45
72110 X-ray of lower and sacral spine, minimum of 4 views	24	24	$144.00	$43.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$473.00	$143.26

Medical Specialties & State Licenses

CMS Verified: 2025-07-16

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA 19958

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.

Hospital & Practice Group Affiliations

Community Foundation Medical Group

1270 E Spruce Ave, Fresno, CA 937203312

Phone: 5592610100

Secondary Practice Locations

1630 E Herndon Ave

Fresno, CA 937203305

Phone: 5592565200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Richard Oravec , MD

Family Medicine - Sports Medicine

NPI 1265793020

Doctor of Medicine (M.D.)

Cristina Vega , PA

Physician Assistant

NPI 1417566514

Physician Assistant

Dr. Matthew Knedel , MD

Orthopaedic Surgery

NPI 1548588239

Doctor of Medicine (M.D.)

Erica Schott , FNP

Nurse Practitioner - Family

NPI 1689672404

Family Nurse Practitioner

Elizabeth Johnson , PA

Physician Assistant - Surgical

NPI 1770766842

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location July 16, 2025

Registered at 1510 E HERNDON AVE STE 230, FRESNO, CA 937203392 (Tel: 5594502663)

👤

Provider Name / Credentials Updated March 15, 2018

Recorded as STACY ROSS, PA-C

✅

NPI Profile Active July 21, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location July 21, 2011

Registered at 1630 E HERNDON AVE, FRESNO, CA 937203305 (Tel: 5592565200)

📍

Updated Business Mailing Address July 21, 2011

Registered at 1630 E HERNDON AVE, FRESNO, CA 937203305 (Tel: 5592565200)

👤

Provider Name / Credentials Updated July 21, 2011

Recorded as STACY MONTZ, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2011

Physician Assistant (License #PA 19958 in CA)

🟢

Initial NPI Registration & Enumeration September 30, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174773808

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 30, 2008

Last Update: July 16, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1630 E Herndon Ave

Fresno, CA 937203305

Phone: 5592565200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.