Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710918891 Individual Practitioner Male Practitioner

Dr. Patrick W Stack , MD

Pediatrics • Madison, IN

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Stack, MD is a registered healthcare professional specializing in Pediatrics in Madison, IN. Practice services are available at 1373 E SR 62 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1373 E Sr 62

Madison, IN 47250

Telephone 8128010300
Fax 8128010585
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Madison, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
8 Specialists

Practicing in Madison, IN (1179 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IN 01033161

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
64759798 (KY)
Medicaid State Provider ID
100148850A (IN)
Commercial Insurance / Payer ID Anthem Bcbs
000000042211 (IN)
Commercial Insurance / Payer ID Siho
412626P (IN)
Commercial Insurance / Payer ID Passport Advantage
2435578000 (KY)
Commercial Insurance / Payer ID Passport Ky Medicaid
1082594 (KY)
Commercial Insurance / Payer ID Aetna
4370916

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1255394391

Doctor of Medicine (M.D.)

NPI 1326467523

Doctor of Medicine (M.D.)

Kayla Meister , APRN

Nurse Practitioner - Family

NPI 1528578770

Advanced Practice Registered Nurse

NPI 1588696314

Doctor of Medicine (M.D.)

NPI 1689960429

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 05, 2018

Registered at 1373 E SR 62, MADISON, IN 47250 (Tel: 8128010300)

📍
Updated Business Mailing Address July 05, 2018

Registered at PO BOX 3395, EVANSVILLE, IN 477323395

NPI Profile Active November 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 14, 2016

Registered at 1373 E STATE ROAD 62, MADISON, IN 472507328 (Tel: 8128010300)

📍
Updated Business Mailing Address November 14, 2016

Registered at PO BOX 189, MADISON, IN 472500189 (Tel: 8128010300)

👤
Provider Name / Credentials Updated November 14, 2016

Recorded as PATRICK STACK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2016

Pediatrics (License #01033161 in IN)

🟢
Initial NPI Registration & Enumeration July 06, 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: 1710918891
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2006
Last Update: February 20, 2019
Sole Proprietor: No

Mailing Address

Po Box 3395

Evansville, IN 477323395

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.