Active NPI 1326081969 Individual Practitioner Female Practitioner

Dr. Kathryn E Stack , MD

Anesthesiology • Old Lyme, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kathryn Stack, MD is a certified Anesthesiology practicing in Old Lyme, CT. With approximately 34 years of clinical experience since graduating from New York Medical College in 1992, Dr. Stack delivers high-quality medical care to the local community at 15 WOOD CREST DR.

Dr. Stack is affiliated with Northeast Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for lens surgery, anesthesia for procedure on small and large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15 Wood Crest Dr

Old Lyme, CT 063712840

Telephone 4049329109

Medicare Profile & Education

Medical School

New York Medical College

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Old Lyme, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs Matches City Avg

City Avg: 34.0 Yrs

State Avg: 27.6 Yrs

Regional Practice Density

1 Specialists

Practicing in Old Lyme, CT (824 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

93.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stack (34 Years) 34 Yrs

Old Lyme Specialty Average (34.0 Years) 34.0 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
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	43	42	$1405.14	$93.27
00142 Anesthesia for lens surgery	37	35	$1190.50	$60.39
00813 Anesthesia for procedure on small and large bowel using an endoscope	35	35	$1559.29	$112.82
00811 Anesthesia for procedure on large bowel using an endoscope	32	32	$1326.22	$97.87
00910 Anesthesia for other procedure on urinary system through urethra	18	17	$1288.83	$77.98
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	16	16	$2902.19	$186.06
00812 Anesthesia for exam of colon using an endoscope	14	14	$1184.00	$69.73
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	14	14	$2638.89	$179.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	57	54	$1352.12	$94.73
00811 Anesthesia for procedure on large bowel using an endoscope	38	38	$1270.66	$91.51
00813 Anesthesia for procedure on small and large bowel using an endoscope	36	36	$1570.96	$98.98
00910 Anesthesia for other procedure on urinary system through urethra	19	16	$1331.03	$88.75
00142 Anesthesia for lens surgery	18	15	$1144.94	$58.66
00918 Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope	15	12	$1933.87	$121.68
00812 Anesthesia for exam of colon using an endoscope	14	14	$1185.32	$58.56
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	13	13	$3092.35	$182.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope	41	41	$1309.46	$77.31
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	39	39	$1401.06	$96.11
00813 Anesthesia for procedure on small and large bowel using an endoscope	33	33	$1513.91	$105.66
00812 Anesthesia for exam of colon using an endoscope	30	30	$955.25	$69.65
00918 Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope	19	19	$2221.65	$108.24
00910 Anesthesia for other procedure on urinary system through urethra	15	15	$1428.41	$71.56
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	15	15	$642.89	$32.99
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	13	13	$3096.78	$157.27
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	12	12	$3734.82	$190.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	32	32	$1735.22	$127.06
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	29	29	$586.80	$33.09
64448 Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter	17	17	$2815.45	$64.63
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	16	16	$1391.95	$79.27
00813 Anesthesia for procedure on small and large bowel using an endoscope	13	13	$1662.17	$87.31
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	11	11	$3610.97	$192.51
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	11	11	$1702.43	$151.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	68	66	$1047.35	$87.25
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	27	27	$231.93	$33.95
01402 Anesthesia for procedure for total knee joint replacement	18	18	$2317.33	$210.56
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	18	18	$947.78	$82.84
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	17	16	$1091.00	$156.25
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	14	14	$2383.54	$213.84
64448 Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter	12	12	$2178.00	$66.58
01214 Anesthesia for total hip replacement	11	11	$2048.82	$182.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	348	312	$816.53	$70.53
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	41	41	$222.00	$34.39
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	34	33	$985.21	$86.82
00811 Anesthesia for procedure on large bowel using an endoscope	28	28	$947.21	$83.40
00140 Anesthesia for procedure on eye	25	25	$991.24	$87.76
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	22	22	$1452.00	$70.62
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	22	22	$611.45	$52.22
01402 Anesthesia for procedure for total knee joint replacement	16	16	$2015.50	$183.82
01400 Anesthesia for other procedure or exam of knee joint using an endoscope	16	16	$918.44	$80.86
64448 Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter	15	15	$2178.00	$77.39
00813 Anesthesia for procedure on small and large bowel using an endoscope	14	14	$1005.14	$88.07
01214 Anesthesia for total hip replacement	14	14	$1992.21	$181.22
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	14	12	$2285.64	$208.82
00410 Anesthesia for procedure to correct abnormal heart rhythm	14	14	$1200.64	$105.41
00103 Anesthesia for procedure on eyelid	13	13	$1139.85	$101.22
00670 Anesthesia for procedure on spine and spinal cord	13	13	$3476.69	$320.80
00812 Anesthesia for exam of colon using an endoscope	13	13	$852.62	$65.45
01630 Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including	12	12	$1359.42	$120.94
00910 Anesthesia for other procedure on urinary system through urethra	12	12	$902.75	$78.14
01830 Anesthesia for open or endoscopic procedure on bones of forearm, wrist, or hand	11	11	$1041.45	$92.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	163	153	$888.42	$74.94
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	32	31	$759.03	$62.79
00811 Anesthesia for procedure on large bowel using an endoscope	29	29	$833.03	$71.45
01992 Anesthesia for nerve block and injection procedure, prone position	27	23	$797.81	$64.74
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	19	19	$1087.95	$95.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00104 Anesthesia for electroshock therapy	43	28	$819.00	$58.43
36620 Insertion of artery tube for blood sampling or infusion through skin	28	27	$358.71	$51.97
00740 Anesthesia for procedure on gastrointestinal tract using an endoscope	28	28	$1441.61	$131.37
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	13	13	$424.62	$137.83
01926 Anesthesia for x-ray on artery of brain, heart, or chest	11	11	$3031.36	$282.81
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	11	11	$2744.18	$252.81

Medical Specialties & State Licenses

CMS Verified: 2021-12-23

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License CT 57186

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Hospital & Practice Group Affiliations

Northeast Medical Group Inc

25 Wells St, Westerly, RI 028912922

Phone: 4015966000

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location August 05, 2021

Registered at 15 WOOD CREST DR, OLD LYME, CT 063712840 (Tel: 4049329109)

📍

Updated Business Mailing Address August 05, 2021

Registered at 15 WOOD CREST DR, OLD LYME, CT 063712840 (Tel: 4049329109)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2021

Anesthesiology (License #57186 in CT)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at EMORY UNIVERSITY SCHOOL OF MEDICINE GRADY MEMORIAL, 49 JESSE HILL JR. DR, ATLANTA, GA 303220001 (Tel: 4046166742)

📍

Updated Business Mailing Address July 08, 2007

Registered at 6200 MOUNTAIN BROOK LN NW, ATLANTA, GA 303283605 (Tel: 4046161296)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as KATHRYN STACK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Anesthesiology (License #038621 in GA)

🟢

Initial NPI Registration & Enumeration June 13, 2006

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: 1326081969

Entity Type:

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

Enumeration Date: June 13, 2006

Last Update: December 23, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

15 Wood Crest Dr

Old Lyme, CT 063712840

Phone: 4049329109

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.