Kathryn E Stack, MD

Individual provider Anesthesiology Physician · NPI 1326081969

Kathryn E Stack, MD practises Anesthesiology in Old Lyme, Connecticut. Graduated from New York Medical College in 1992, 34 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying: 34
Trained at: New York Medical College
Licensed in: CT
In the registry since: 2006

What do these letters mean?

MD — Doctor of Medicine: A physician who completed allopathic medical school.

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Practice location Address checks out

15 Wood Crest Dr
Old Lyme, CT 06371-2840
Phone: (404) 932-9109

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary)	Taxonomy 207L00000X · Licence 57186 (CT)

Record details

NPI number	1326081969
Entity type	Individual (Type 1)
Gender	Female
Credentials	MD
Sole proprietor	No
NPI enumerated	June 13, 2006
Last updated in NPPES	December 23, 2021
Certification date	December 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	ANESTHESIOLOGY
Medical school	NEW YORK MEDICAL COLLEGE
Graduated	1992 (34 years in practice)
Group practice	Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients	282
Services billed	301 a service is one billed item, such as a visit, a test or a procedure
Average patient age	75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Westerly Hospital Hospital · Westerly, RI · listed as The Westerly Hospital

Colleagues at Northeast Medical Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1360 clinicians in the practice; 12 are shown here.

Mhd Yassin Al Mouslmani, MD Hospitalist Physician · New Haven, CT
Dr. Elizabeth K Allard, MD Family Medicine Physician · New London, CT
Tara Peters Basile Counselor · Plainville, CT
Dr. Steve Butala, MD Internal Medicine Physician · New Britain, CT
Erin Colella, APRN Nurse Practitioner · Niantic, CT
Juan C Delprado, PA-C Surgical Physician Assistant · New London, CT
Jillian Angelina Dolan, MD Obstetrics & Gynecology Physician · Shelton, CT
Mikhail Krotovskiy, MD Internal Medicine Physician · New Haven, CT
Rita Ohene-Adjei, MD Internal Medicine Physician · Wallingford, CT
Dr. Stephen Joseph Phelan, MD Internal Medicine Physician · Pawcatuck, CT
Ashanee Thompson Internal Medicine Physician · Bridgeport, CT
Miss. Kristin Van Horn, APRN Adult Health Nurse Practitioner · New Haven, CT