Doctor profile · Federal record
Dr. Kathryn Stack, MD
Anesthesiology Physician (CMS: Anesthesiology) · Old Lyme, CT
- NPI 1326081969
- Accepts Medicare
- MIPS 84.3 / 100 · 2023
- 34 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
15 Wood Crest Dr
Old Lyme, CT 063712840
(404) 932-9109
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- December 23, 2021
- Year of graduation
- 1992 — 34 yrs since
- Specialty taxonomy
- 207L00000X — NUCC code
- State license (1)
- Connecticut #57186
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1326081969. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
210
Distinct HCPCS
8
Medicare allowed
$20,206
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 57 | 54 | $95 | |
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 38 | 38 | $92 | |
00813 |
Anesthesia for procedure on small and large bowel using an endoscope | 36 | 36 | $99 | |
00910 |
Anesthesia for other procedure on urinary system through urethra | 19 | 16 | $89 | |
00142 |
Anesthesia for lens surgery | 18 | 15 | $59 | |
00918 |
Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope | 15 | 12 | $122 | |
00812 |
Anesthesia for exam of colon using an endoscope | 14 | 14 | $59 | |
00840 |
Anesthesia for other procedure on lower abdomen | 13 | 13 | $183 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 26. This provider delivers 8.1× the peer median.Frequently asked questions
What is Dr. Kathryn Stack's medical specialty?
Dr. Kathryn Stack practices Anesthesiology Physician in Old Lyme, CT.
Where does Dr. Kathryn Stack practice?
Dr. Kathryn Stack practices at 15 Wood Crest Dr, Old Lyme, CT 063712840. Office phone: 4049329109.
What is Dr. Kathryn Stack's NPI?
Dr. Kathryn Stack's National Provider Identifier (NPI) is 1326081969, issued by NPPES.
Does Dr. Kathryn Stack accept Medicare assignment?
Yes. Dr. Kathryn Stack accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kathryn Stack commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731); Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811); Anesthesia for procedure on small and large bowel using an endoscope (HCPCS 00813). Source: CMS Medicare Physician & Other Practitioners file.