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Active NPI 1437165164 Individual Practitioner Male Practitioner

Dr. Brendan Curran Stack , MD

Otolaryngology - Plastic Surgery within the Head & Neck • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Dr. Brendan Stack, MD is a registered healthcare professional specializing in Otolaryngology - Plastic Surgery within the Head & Neck in Springfield, IL. Practice services are available at 720 N BOND ST under active NPI credentials.

Frequently performed procedures and clinical services include diagnostic exam of voice box using a flexible endoscope, new patient outpatient office visit, removal or exploration of parathyroid glands. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

720 N Bond St

Springfield, IL 627024952

Telephone 2175458000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology - Plastic Surgery within the Head & Neck in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
3 Specialists

Practicing in Springfield, IL (20 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
31575 Diagnostic exam of voice box using a flexible endoscope
86 78 $253.00 $62.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
48 48 $301.00 $122.63
60500 Removal or exploration of parathyroid glands
28 28 $2340.00 $891.93
99213 Established patient office or other outpatient visit, typically 15 minutes
28 26 $137.00 $48.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
24 21 $204.00 $71.02
78800 Nuclear medicine study, 1 area
15 15 $83.00 $30.13
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
13 13 $391.00 $160.07
60220 Total removal of thyroid lobe on one side of the neck
12 12 $1651.00 $507.23

Medical Specialties & State Licenses

CMS Verified: 2020-02-19
Otolaryngology - Plastic Surgery within the Head & Neck Primary Specialty

NUCC Taxonomy Code: 207YX0007X

State License IL 036-151806

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

Otolaryngology

NUCC Taxonomy Code: 207Y00000X

State License AR E4564

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Otolaryngology - Facial Plastic Surgery

NUCC Taxonomy Code: 207YS0123X

State License AR E4564

An otolaryngologist who specializes in facial plastic surgery.

Otolaryngology - Plastic Surgery within the Head & Neck

NUCC Taxonomy Code: 207YX0007X

State License AR E-4564

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
158045001 (AR)
Commercial Insurance / Payer ID Tricare
T2005-275 (AR)
Commercial Insurance / Payer ID Qualchoice
0507002300 (AR)
Commercial Insurance / Payer ID Bcbs
5N281 (AR)
Commercial Insurance / Payer ID Additional Medicare
5N2817666
Commercial Insurance / Payer ID Medical License
E4564 (AR)

Secondary Practice Locations

4301 W Markham St # 543

Little Rock, AR 722057101

Phone: 5016865140

Practice Associates & Co-Workers

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

40 Associated Practitioners
Amanda Henson , LCSW

Social Worker - Clinical

NPI 1003247115

Licensed Clinical Social Worker

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Jerry Priddy , PA-C

Physician Assistant

NPI 1003351115

Physician Assistant (Certified)

Dr. Ashley Mohan , DO

Internal Medicine - Hematology & Oncology

NPI 1003377565

Doctor of Osteopathic Medicine (D.O.)

Dr. Linda Ponce Rosas , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003501065

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location February 19, 2020

Registered at 720 N BOND ST, SPRINGFIELD, IL 627024952 (Tel: 2175458000)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4301 W MARKHAM ST # 543, LITTLE ROCK, AR 722057101 (Tel: 5016865140)

📍
Updated Business Mailing Address July 08, 2007

Registered at 21001 LAKE VISTA DR, ROLAND, AR 721358017 (Tel: 5018687299)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BRENDAN STACK, MD

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

Otolaryngology (License #E4564 in AR)

🟢
Initial NPI Registration & Enumeration August 01, 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: 1437165164
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2006
Last Update: February 19, 2020
Sole Proprietor: No

Mailing Address

21001 Lake Vista Dr

Roland, AR 721358017

Phone: 5018687299

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.