NPPES file of Aug 9, 2026

Staci R. Young, MD

Pediatrics Physician · Glen Carbon, IL

Staci R. Young, MD is a pediatrics physician with a practice address in Glen Carbon, Illinois, and NPI 1053406694, issued on Oct 3, 2006. Check the license (Illinois 036113846, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1053406694
Name
Staci R. Young
Credential
MD
Primary taxonomy
Pediatrics Physician 208000000X
License numbers
036113846 IL
2005020858 MO
Self-reported in NPPES; status is on the state search
Practice location
4804 S State Route 159, Glen Carbon, IL 62034
Phone
(618) 288-9305
Enumerated
Oct 3, 2006
Record last updated
Jun 29, 2020 (not updated in 6 years: call before relying on the address or phone)
Fax
(618) 288-9308
Medicaid ID
06500123 IL
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Verify Staci R. Young in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036113846
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Industry payments in 2024: $146.81

8 payments; by number, the most common kind was food and beverage; the largest payer was Ironshore Pharmaceuticals Inc. The 21,580 providers of this specialty with any payment received $842.05 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Staci Young$146.81
  2. Specialty average$842.05

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Staci R. Young among 3,176 pediatrics physician records in Illinois

Staci R. Young, MD is one of 3,176 pediatrics physician records with a practice address in Illinois. 32% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 8% of them.

  • NPI issued2006 · 8% of these records are older, 59% newer
  • In a Medicare fileYes · 32% of these records are
  • In the CMS Doctors and Clinicians fileNo · 7% of these records are
  • Record last updated2020 · 54% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

7 pediatrics physician records list a practice address in Glen Carbon

They are 7 of the 379 NPPES records with a practice address in Glen Carbon, and 3,176 pediatrics physician records in Illinois.

The 8 pediatrics physician records with the nearest ZIP codes

  1. Angela Bard Kaericher, M.D.Glen Carbon, IL 620341043313224
  2. Lizbeth Didriksen, M.D.Glen Carbon, IL 620341861501058
  3. David Herman, M.D.Glen Carbon, IL 620341205945417
  4. Jennifer Hulsen, M.D.Glen Carbon, IL 620341083707756
  5. Stephanie Lorts, MDGlen Carbon, IL 620341346621505
  6. Karen Nauman, MDGlen Carbon, IL 620341306819099
  7. Therese Polo, MDGillespie, IL 620331215088000
  8. Shahnaz Ahmad, MDGranite City, IL 620401184634685

Common questions

What is Staci R. Young, MD's NPI number?

Staci R. Young, MD's National Provider Identifier (NPI) is 1053406694, issued on Oct 3, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Staci R. Young, MD located?

The NPPES record lists a practice address at 4804 S State Route 159, Glen Carbon, IL, 62034. Phone: (618) 288-9305. Providers update this record themselves, so call before visiting.

How can I verify Staci R. Young, MD's license?

NPPES lists Illinois license number 036113846, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.