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DR. HOMER LEE STALEY M.D. NPI 1609886936


NPI Information

NPI: 1609886936
Provider Name: DR. HOMER LEE STALEY, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
104 N LOCUST AVE
LAWRENCEBURG, TN
ZIP 38464
Phone: (931) 762-6476
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DR. Homer Lee Staley, M.D. is a family medicine in Lawrenceburg, TN with 51 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Homer Lee Staley, M.D. NPI is 1609886936. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1973

The provider's business location address is:

104 N LOCUST AVE
LAWRENCEBURG, TN
ZIP 38464-734
Phone: (931) 762-6476
Fax: (931) 762-1841

The NPI 1609886936 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)
  • Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration (HCPCS:94060)
  • Ultrasound of head and neck (HCPCS:76536)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)

The enumeration date for this NPI number is 8/9/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD008952TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13170118MEDICAIDTENNESSEE
2B03386MEDICARE UPINTENNESSEE
33170118MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.