DR. SHANON RENEE LACY D.O.
NPI 1003076142
Pathology - Anatomic Pathology & Clinical Pathology in West Allis, WI

Active since June 12, 2008PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
8901 W LINCOLN AVE, WEST ALLIS, WI 53227(414) 328-7675 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 30, 2021, Dec 1, 2020 (2 updates tracked since 2020).

About Dr. Shanon Renee Lacy D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHANON RENEE LACY D.O. (NPI 1003076142) is an individual anatomic pathology & clinical pathology provider in West Allis, Wisconsin, licensed in Wisconsin (56999-21) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Chicago College Of Medicine And Surgery (2007).

NPPES Registry Identity

NPI1003076142
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. SHANON RENEE LACYCredential: D.O.
Location Address8901 W LINCOLN AVEWest Allis, WI 53227-2409
Mailing Address102 N Water St Unit 206Milwaukee, WI 53202-6056 · (317) 285-9918
Sole ProprietorNo
Medical School CMSChicago College Of Medicine And SurgeryGraduated 2007
Enumeration DateJune 12, 2008
Last NPPES UpdateDecember 30, 20212 updates tracked since enumeration
NPPES CertifiedDecember 30, 2021
NPI 1003076142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in WI · 56999-21
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License 56999-21 (WI)
8901 W LINCOLN AVE, West Allis, WI 53227

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Shanon Renee Lacy D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749444875
PECOS Enrollment IDI20120620000822
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
2,345 services1,673 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
359 services157 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
217 services186 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
143 services91 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
124 services113 patients
Antibody evaluation, each additional single antibody stain procedure 88350
An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.
64 services16 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Aurora Memorial Hospital Burlington

Acute Care Hospitals · Burlington, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520059
Location252 Mchenry StBurlington, WI 53105 · Racine County
Emergency services

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53227 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Pathology (Anatomic Pathology & Clinical Pathology)
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Obstetrics & Gynecology (Reproductive Endocrinology)
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Durable Medical Equipment & Medical Supplies
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Hospitalist
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Nurse Practitioner (Family)
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Pediatrics
8901 W LINCOLN AVE
WEST ALLIS, WI 53227
Anesthesiology
8901 W LINCOLN AVE, 2ND FL
WEST ALLIS, WI 53227

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanon Lacy's NPI number?

The NPI number for Shanon Lacy is 1003076142. It was assigned to this individual provider in the NPPES registry on June 12, 2008.

Where is Shanon Lacy located?

Shanon Lacy practices at 8901 W Lincoln Ave, West Allis, WI 53227. The listed phone number is (414) 328-7675.

What is Shanon Lacy's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Shanon Lacy enrolled in Medicare?

Yes. Shanon Lacy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shanon Lacy accept?

Health plans from CareSource (Common Ground Healthcare) list Shanon Lacy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shanon Lacy affiliated with any hospitals?

According to CMS data, Shanon Lacy is affiliated with Waukesha Memorial Hospital, Aurora Memorial Hospital Burlington, Aurora St Lukes Medical Center, Froedtert Memorial Lutheran Hospital and Aurora Medical Center - Summit.

When was this NPI record last updated?

The NPPES record for Shanon Lacy was last updated on December 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.