Doctor profile · Federal record
Dr. Staci Tanouye, M.D.
Obstetrics & Gynecology Physician (CMS: Obstetrics/Gynecology) · Obstetrics & Gynecology Physician · Jacksonville Beach, FL
- NPI 1679739775
- Accepts Medicare
- 18 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1361 13Th Ave S Ste &110&115
Jacksonville Beach, FL 322503233
(904) 247-5514
fax (904) 247-3363 - Mailing address
-
Po Box 748817
Atlanta, GA 303748817
Credentials & registration
- NPI registered
- July 2008 — 18 yrs on file
- Profile last updated
- June 22, 2023
- Year of graduation
- 2008 — 18 yrs since
- Specialty taxonomy
- 207V00000X — NUCC code
- State licenses (2)
- Florida #ME117299 · Minnesota #52096
- Medicaid
- FL #010025600
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1679739775. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
111
Distinct HCPCS
5
Medicare allowed
$9,271
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 34 | 29 | $125 | |
G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination | 26 | 26 | $39 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 20 | 18 | $89 | |
Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 18 | 18 | $41 | |
76830 |
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | 13 | 13 | $115 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 28. This provider delivers 4.0× the peer median.Open Payments
Industry payments received
All-time total
$138
Transactions
6
Manufacturers
6
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| OptumHealth Care Solutions, LLC | 1 | $43.84 | |
| MAYNE PHARMA COMMERCIAL LLC | 1 | $30.51 | |
| Astellas Pharma US Inc | 1 | $27.10 | |
| Sumitomo Pharma America, Inc. | 1 | $15.26 | |
| MILLICENT US INC | 1 | $13.20 | |
| Organon Llc | 1 | $7.61 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
26
Patients
14
Total drug cost
$2,886
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Estradiol | Generic | 26 | 14 | $2,886 |
Frequently asked questions
What is Dr. Staci Tanouye's medical specialty?
Dr. Staci Tanouye practices Obstetrics & Gynecology Physician in Jacksonville Beach, FL.
Where does Dr. Staci Tanouye practice?
Dr. Staci Tanouye practices at 1361 13Th Ave S Ste &110&115, Jacksonville Beach, FL 322503233. Office phone: 9042475514.
What is Dr. Staci Tanouye's NPI?
Dr. Staci Tanouye's National Provider Identifier (NPI) is 1679739775, issued by NPPES.
Does Dr. Staci Tanouye accept Medicare assignment?
Yes. Dr. Staci Tanouye accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Staci Tanouye commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS G0101); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.