Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Stacy Lee Anderson, MD

Individual provider Internal Medicine Physician · NPI 1619210648

Mrs. Stacy Lee Anderson, MD is registered under Family Practice in New York, New York. Graduated from Oregon Health Sciences University School of Medicine in 2013, 13 years ago. Practices with Memorial Medical Consultation Group, a 84-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (212) 639-2000
Show map & directions

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

Additional practice locations (1)

  • 505 E 70th St, New York, NY 10021-4872 — (212) 746-2917

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 283301 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619210648
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 28, 2013
Last updated in NPPESMarch 17, 2018

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Memorial Medical Consultation Group — 84 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 patients136
Services billed 197 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

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.

Affiliated with 1 hospital, which CMS identifies by certification number only.

Colleagues at Memorial Medical Consultation Group

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 84 clinicians in the practice; 12 are shown here.

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