Doctor profile · Federal record
Dr. Matthew Stack, PA C
Physician Assistant · Psychologist · Medical Physician Assistant · Physician Assistant · Ithaca, MI
- NPI 1033108667
- Accepts Medicare
- 24 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
121 N Pine River St
Ithaca, MI 488471039
(989) 287-0662 - Additional location
-
1040 W Bristol RD
Flint, MI 485075516
(810) 257-3705
fax (989) 629-8145
Credentials & registration
- NPI registered
- October 2005 — 21 yrs on file
- Profile last updated
- February 5, 2026
- Year of graduation
- 2002 — 24 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (3)
- Michigan #5601003961 · Michigan #6301007939 · Arizona #2782
- Medicaid
- AZ #762246
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1033108667. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$40
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Otsuka America Pharmaceutical, INC. | 1 | $23.04 | |
| Janssen Pharmaceuticals, INC | 1 | $17.25 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
109
Patients
0
Total drug cost
$2,505
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Buspirone Hcl | Generic | 28 | 0 | $336 |
| Duloxetine Hcl | Generic | 24 | 0 | $371 |
| Nortriptyline Hcl | Generic | 18 | 0 | $576 |
| Aripiprazole | Generic | 16 | 0 | $890 |
| Trazodone Hcl | Generic | 12 | 0 | $114 |
| Gabapentin | Generic | 11 | 0 | $219 |
Frequently asked questions
What is Dr. Matthew Stack's medical specialty?
Dr. Matthew Stack practices Physician Assistant in Ithaca, MI.
Where does Dr. Matthew Stack practice?
Dr. Matthew Stack practices at 121 N Pine River St, Ithaca, MI 488471039. Office phone: 9892870662.
What is Dr. Matthew Stack's NPI?
Dr. Matthew Stack's National Provider Identifier (NPI) is 1033108667, issued by NPPES.
Does Dr. Matthew Stack accept Medicare assignment?
Yes. Dr. Matthew Stack accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.