Active NPI 1154590529 Individual Practitioner Male Practitioner

Ian Stack , PA

Physician Assistant - Medical • Pinehurst, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ian Stack, PA is a certified Physician Assistant - Medical practicing in Pinehurst, NC. With approximately 24 years of clinical experience since completing medical education in 2002, Ian Stack delivers high-quality medical care to the local community at 35 MEMORIAL DR.

Ian Stack is affiliated with Jefferson Davis Emergency Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

35 Memorial Dr

Pinehurst, NC 283748708

Telephone 9107157856

Associated Practice Facility / Clinic

🏢 Firsthealth Of The Carolinas, Inc Facility NPI 1871610378

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Pinehurst, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +5.5 yrs vs City Avg

City Avg: 18.5 Yrs

State Avg: 15.4 Yrs

Regional Practice Density

19 Specialists

Practicing in Pinehurst, NC (1397 Statewide)

Telehealth Adoption Rate

21.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

93.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stack (24 Years) 24 Yrs

Pinehurst Specialty Average (18.5 Years) 18.5 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
99284 Emergency department visit with moderate level of medical decision making	38	37	$1487.00	$95.93
99285 Emergency department visit for life threatening or functioning severity	37	35	$2194.00	$138.72
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	29	25	$109.00	$6.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	109	106	$1518.00	$145.62
99284 Emergency department visit with moderate level of medical decision making	107	104	$984.45	$99.09
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	102	96	$64.00	$6.74
99291 Critical care, first 30-74 minutes	16	16	$1670.00	$176.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	144	139	$1518.00	$148.26
99284 Emergency department visit with moderate level of medical decision making	66	66	$972.00	$101.45
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	58	55	$64.00	$6.87
99291 Critical care, first 30-74 minutes	37	37	$1670.00	$182.17
99283 Emergency department visit with low level of medical decision making	34	34	$606.00	$60.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	259	255	$1767.64	$155.08
99284 Emergency department visit with moderate level of medical decision making	91	90	$1052.59	$105.01
99283 Emergency department visit with low level of medical decision making	61	61	$706.98	$62.08
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	44	44	$102.00	$7.16
99291 Critical care, first 30-74 minutes	37	37	$1708.35	$186.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	247	244	$1854.30	$152.08
99283 Emergency department visit with low level of medical decision making	57	56	$741.11	$55.89
99284 Emergency department visit with moderate level of medical decision making	48	48	$1140.88	$102.85
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	47	47	$102.00	$7.39
99291 Critical care, first 30-74 minutes	18	18	$1906.50	$190.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	407	388	$1404.89	$142.78
99284 Emergency department visit with moderate level of medical decision making	195	184	$812.19	$97.35
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	122	119	$61.41	$7.04
99283 Emergency department visit with low level of medical decision making	97	92	$439.42	$50.99
99291 Critical care, first 30-74 minutes	52	51	$1729.90	$185.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	466	444	$1388.55	$142.58
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	328	293	$60.65	$6.98
99284 Emergency department visit with moderate level of medical decision making	204	193	$768.89	$96.91
99283 Emergency department visit with low level of medical decision making	93	89	$408.77	$51.09
99291 Critical care, first 30-74 minutes	12	12	$1694.33	$185.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	434	404	$1367.00	$139.25
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	327	298	$60.00	$6.80
99284 Emergency department visit with moderate level of medical decision making	211	203	$753.00	$94.63
99283 Emergency department visit with low level of medical decision making	121	118	$397.00	$49.98

Medical Specialties & State Licenses

Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License NC 103480

Definition to come...

Hospital & Practice Group Affiliations

Jefferson Davis Emergency Group Llc

1634 Elton Rd, Jennings, LA 705463614

Phone: 3376167160

Practice Associates & Co-Workers

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

26 Associated Practitioners

Emily Pellegrini , NP (AGPCNP)

Nurse Practitioner - Adult Health

NPI 1003464157

NP(AGPCNP)

Dr. Jason Jerry , MD

Psychiatry & Neurology - Addiction Medicine

NPI 1023284353

Doctor of Medicine (M.D.)

Mary Silverman , LCSW

Social Worker - Clinical

NPI 1134163181

Licensed Clinical Social Worker

Kelly King , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1154981496

Psychiatric-Mental Health Nurse Practitioner

Dr. John Berry , MD

Anesthesiology

NPI 1164748927

Doctor of Medicine (M.D.)

Dr. Jaspaul Jawanda , MD

Internal Medicine - Infectious Disease

NPI 1174579726

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 29, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location February 29, 2008

Registered at 35 MEMORIAL DR, PINEHURST, NC 283748708 (Tel: 9107157856)

📍

Updated Business Mailing Address February 29, 2008

Registered at 126 JAMES CREEK RD, SOUTHERN PINES, NC 283876819 (Tel: 9106928224)

👤

Provider Name / Credentials Updated February 29, 2008

Recorded as IAN STACK, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 29, 2008

Physician Assistant (License #103480 in NC)

🟢

Initial NPI Registration & Enumeration February 29, 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: 1154590529

Entity Type:

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

Enumeration Date: February 29, 2008

Last Update: February 29, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

126 James Creek Rd

Southern Pines, NC 283876819

Phone: 9106928224

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.