Active NPI 1184619876 Individual Practitioner Female Practitioner

Bethany Lynn Stack , PA

Physician Assistant - Medical • Rutland, VT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Bethany Stack, PA is a certified Physician Assistant - Medical practicing in Rutland, VT. With approximately 23 years of clinical experience since completing medical education in 2003, Bethany Stack delivers high-quality medical care to the local community at 3 ALBERT CREE DR.

Bethany Stack is affiliated with Rutland Hospital, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include aspiration and/or injection of fluid from large joint, established patient outpatient office visit, x-ray of shoulder, minimum of 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3 Albert Cree Dr

Rutland, VT 057014601

Telephone 8027752937

Fax 8027730934

Associated Practice Facility / Clinic

🏢 Vermont Orthopaedic Clinic Inc Facility NPI 1043513575

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Rutland, VT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +6.2 yrs vs City Avg

City Avg: 16.8 Yrs

State Avg: 17.9 Yrs

Regional Practice Density

14 Specialists

Practicing in Rutland, VT (100 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

88.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stack (23 Years) 23 Yrs

Rutland Specialty Average (16.8 Years) 16.8 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
20610 Aspiration and/or injection of fluid from large joint	215	130	$275.07	$39.99
99213 Established patient office or other outpatient visit, typically 15 minutes	126	104	$92.79	$52.27
73030 X-ray of shoulder, minimum of 2 views	53	49	$67.09	$8.19
73562 X-ray of knee, 3 views	38	38	$67.08	$8.14
27447 Replacement of knee joint, both sides of knee	34	33	$1828.00	$162.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$119.00	$78.37
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	18	18	$678.00	$20.23
29827 Repair of shoulder rotator cuff using an endoscope	17	17	$1156.00	$128.66
73560 X-ray of knee, 1-2 views	14	13	$63.21	$7.43
77077 X-ray of joints, multiple	13	13	$106.00	$13.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	167	105	$283.87	$41.99
99213 Established patient office or other outpatient visit, typically 15 minutes	120	104	$91.44	$54.03
27447 Replacement of knee joint, both sides of knee	55	55	$1828.00	$165.91
73030 X-ray of shoulder, minimum of 2 views	46	46	$67.72	$8.57
73562 X-ray of knee, 3 views	43	43	$70.93	$9.32
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	35	33	$678.00	$21.32
29827 Repair of shoulder rotator cuff using an endoscope	26	25	$1156.00	$138.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$127.41	$77.32
29824 Partial removal of collar bone at shoulder using an endoscope	19	18	$673.00	$45.16
73560 X-ray of knee, 1-2 views	16	15	$60.63	$7.49
29823 Removal of extensive shoulder joint tissue using an endoscope	12	12	$627.00	$15.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	177	107	$251.58	$43.20
99213 Established patient office or other outpatient visit, typically 15 minutes	135	115	$78.84	$55.92
73562 X-ray of knee, 3 views	55	55	$61.22	$9.56
27447 Replacement of knee joint, both sides of knee	50	48	$1584.46	$171.60
73030 X-ray of shoulder, minimum of 2 views	33	33	$58.03	$8.80
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	32	31	$598.94	$22.86
29827 Repair of shoulder rotator cuff using an endoscope	23	23	$1017.04	$143.59
29824 Partial removal of collar bone at shoulder using an endoscope	20	19	$596.70	$53.38
29823 Removal of extensive shoulder joint tissue using an endoscope	18	17	$564.67	$23.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$104.75	$82.87
73502 X-ray of hip, 2-3 views	12	11	$56.92	$9.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$95.55	$69.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	163	111	$234.07	$43.43
99213 Established patient office or other outpatient visit, typically 15 minutes	146	133	$75.00	$57.10
73562 X-ray of knee, 3 views	60	59	$57.58	$9.41
27447 Replacement of knee joint, both sides of knee	51	50	$1531.00	$173.69
73030 X-ray of shoulder, minimum of 2 views	50	44	$53.22	$8.27
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	25	25	$568.00	$23.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$100.00	$84.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$69.00	$30.44
73560 X-ray of knee, 1-2 views	19	16	$49.26	$7.44
29824 Partial removal of collar bone at shoulder using an endoscope	19	19	$564.00	$55.11
29827 Repair of shoulder rotator cuff using an endoscope	17	17	$968.00	$145.27
77077 X-ray of joints, multiple	17	17	$89.00	$14.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$93.18	$70.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	151	89	$226.66	$42.83
99213 Established patient office or other outpatient visit, typically 15 minutes	83	77	$79.20	$43.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	43	$100.00	$67.28
73030 X-ray of shoulder, minimum of 2 views	36	35	$55.78	$9.13
27447 Replacement of knee joint, both sides of knee	33	33	$1531.00	$179.48
73562 X-ray of knee, 3 views	29	29	$56.45	$9.35
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	21	21	$568.00	$23.81
29824 Partial removal of collar bone at shoulder using an endoscope	17	17	$564.00	$58.46
29827 Repair of shoulder rotator cuff using an endoscope	17	17	$968.00	$146.89
29823 Removal of extensive shoulder joint tissue using an endoscope	11	11	$525.00	$21.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	146	87	$236.41	$43.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	78	$101.65	$66.59
99213 Established patient office or other outpatient visit, typically 15 minutes	76	68	$76.70	$42.94
73030 X-ray of shoulder, minimum of 2 views	43	38	$54.16	$8.51
27447 Replacement of knee joint, both sides of knee	39	39	$1531.00	$183.13
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	27	27	$568.00	$22.75
73562 X-ray of knee, 3 views	21	20	$57.76	$9.68
29827 Repair of shoulder rotator cuff using an endoscope	18	18	$968.00	$143.57
29823 Removal of extensive shoulder joint tissue using an endoscope	13	13	$525.00	$30.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$80.00	$63.92
29824 Partial removal of collar bone at shoulder using an endoscope	11	11	$564.00	$67.69
73560 X-ray of knee, 1-2 views	11	11	$50.18	$7.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	131	77	$287.65	$41.69
99213 Established patient office or other outpatient visit, typically 15 minutes	94	83	$77.64	$42.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	73	$99.46	$65.96
27447 Replacement of knee joint, both sides of knee	42	42	$1531.00	$181.43
73030 X-ray of shoulder, minimum of 2 views	41	37	$56.93	$9.62
73562 X-ray of knee, 3 views	28	28	$57.46	$9.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$92.81	$62.33
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	15	15	$568.00	$23.50
73560 X-ray of knee, 1-2 views	12	11	$52.00	$8.34
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$968.00	$142.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	155	96	$318.83	$41.93
99213 Established patient office or other outpatient visit, typically 15 minutes	96	86	$75.00	$42.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	58	$99.32	$65.84
73030 X-ray of shoulder, minimum of 2 views	53	50	$53.47	$8.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$80.00	$63.80
73560 X-ray of knee, 1-2 views	39	39	$49.23	$7.48
73562 X-ray of knee, 3 views	33	32	$59.06	$9.99
27447 Replacement of knee joint, both sides of knee	32	32	$1578.84	$184.30
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	22	22	$568.00	$23.33
29823 Removal of extensive shoulder joint tissue using an endoscope	15	15	$525.00	$38.76
29824 Partial removal of collar bone at shoulder using an endoscope	14	14	$564.00	$67.20
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$968.00	$141.98

Medical Specialties & State Licenses

Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License VT 055-0030670

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs

00059907 (VT)

Hospital & Practice Group Affiliations

Rutland Hospital, Inc.

160 Allen St, Rutland, VT 057014560

Phone: 8027757111

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Eric Marsh , MD

Surgery

NPI 1003883869

Doctor of Medicine (M.D.)

James Hollinshead , PA

Physician Assistant - Medical

NPI 1104811884

Physician Assistant

Kaitlin Mccarthy , APRN

Nurse Practitioner - Family

NPI 1184452666

Advanced Practice Registered Nurse

Jodi Hyndman , APRN

Nurse Practitioner

NPI 1225050255

Advanced Practice Registered Nurse

Dr. Joseph Vargas , MD

Specialist

NPI 1407841265

Doctor of Medicine (M.D.)

Dr. Ann Stein , MD

Specialist

NPI 1437144268

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 March 03, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 03, 2011

Registered at 3 ALBERT CREE DR, RUTLAND, VT 057014601 (Tel: 8027752937)

📍

Updated Business Mailing Address March 03, 2011

Registered at 3 ALBERT CREE DR, RUTLAND, VT 057014601 (Tel: 8027752937)

👤

Provider Name / Credentials Updated March 03, 2011

Recorded as BETHANY STACK, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2011

Physician Assistant (License #055-0030670 in VT)

🟢

Initial NPI Registration & Enumeration September 19, 2005

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: 1184619876

Entity Type:

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

Enumeration Date: September 19, 2005

Last Update: March 03, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3 Albert Cree Dr

Rutland, VT 057014601

Phone: 8027752937

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.