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LACEY ZACK M.D.
NPI 1124315916
Orthopaedic Surgery in Los Angeles, CA

Active since June 30, 2011PECOS EnrolledAccepts Medicare Assignment
1245 WILSHIRE BLVD, STE 607, LOS ANGELES, CA 90017(213) 338-1521(213) 266-8183 Get Directions Write a Review

NPPES record last updated: January 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 6, 2020, Dec 9, 2018, Nov 19, 2018 and 1 more (4 updates tracked since 2018).

About Lacey Zack M.d. NPPES

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

LACEY ZACK M.D. (NPI 1124315916) is an individual orthopaedic surgery provider in Los Angeles, California, licensed in California (A116342) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2009).

NPPES Registry Identity

NPI1124315916
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameLACEY ZACKCredential: M.D.
Location Address1245 WILSHIRE BLVD, STE 607Los Angeles, CA 90017-4806
Mailing Address1245 Wilshire Blvd Ste 607Los Angeles, CA 90017-4806 · (213) 338-1521 · Fax (213) 266-8183
Phone(213) 338-1521
Fax(213) 266-8183
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2009
Enumeration DateJune 30, 2011
Last NPPES UpdateJanuary 6, 20204 updates tracked since enumeration
✔ NPI 1124315916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CA · A116342
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1245 WILSHIRE BLVD, Los Angeles, CA 90017
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Other Names 1

Former Name (1)Lacey Mills M.d.

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

Lacey Zack M.d. 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 ID7810201100
PECOS Enrollment IDI20150730012323
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 5

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
250 services21 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
82 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
70 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90017 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

PETER LORBER, M.D., A MEDICAL CORPORATION
Psychiatry & Neurology (Neurology)
1245 WILSHIRE BLVD, SUITE 814
LOS ANGELES, CA 90017
Los Angeles County (213) 481-0592
HOMAYOUN TABANDEH M.D.
Ophthalmology
1245 WILSHIRE BLVD, 380
LOS ANGELES, CA 90017
Los Angeles County (213) 483-8810
DR. JAMES C.S. HAHN M.D.
Internal Medicine
1245 WILSHIRE BLVD, SUITE 790
LOS ANGELES, CA 90017
Los Angeles County (323) 735-1111
DR. ELLSWORTH RAYMOND GRANT M.D
Internal Medicine (Hematology & Oncology)
1245 WILSHIRE BLVD, SUITE 801
LOS ANGELES, CA 90017
Los Angeles County (213) 481-3948
DR. ALEXIS GEORG HOEN MD
Internal Medicine
1245 WILSHIRE BLVD, STE 307
LOS ANGELES, CA 90017
Los Angeles County (213) 977-1165
DOWNTOWN LOS ANGELES MEDICAL GROUP INC
Specialist
1245 WILSHIRE BLVD, SUITE 905
LOS ANGELES, CA 90017
Los Angeles County (213) 481-0584
DR. RONALD ALAN GREENO MD
Internal Medicine (Pulmonary Disease)
1245 WILSHIRE BLVD, SUITE 407
LOS ANGELES, CA 90017
Los Angeles County (213) 977-4979
RICHARD H. ROE M.D.
Ophthalmology
1245 WILSHIRE BLVD, 380
LOS ANGELES, CA 90017
Los Angeles County (213) 483-8810

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 Lacey Zack's NPI number?

The NPI number for Lacey Zack is 1124315916. It was assigned to this individual provider in the NPPES registry on June 30, 2011. The provider is also known as Lacey Mills M.D..

Where is Lacey Zack located?

Lacey Zack practices at 1245 Wilshire Blvd Ste 607, Los Angeles, CA 90017. The listed phone number is (213) 338-1521.

What is Lacey Zack's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Lacey Zack enrolled in Medicare?

Yes. Lacey Zack 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.

When was this NPI record last updated?

The NPPES record for Lacey Zack was last updated on January 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.