LACEYANNE THOMAS
NPI 1124814249
Family Medicine in Astoria, NY

Active since April 16, 2025PECOS Enrolled
2638 28TH ST, ASTORIA, NY 11102(718) 509-9345 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laceyanne Thomas NPPES

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

LACEYANNE THOMAS (NPI 1124814249) is an individual family medicine provider in Astoria, New York, licensed in New York (F356932-01) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1124814249
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLACEYANNE THOMAS
Location Address2638 28TH STAstoria, NY 11102-2044
Mailing Address65 Belknap AveYonkers, NY 10710-5403
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 16, 2025
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
NPI 1124814249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · F356932-01
Definition
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 754614 (NY)
2638 28TH ST, Astoria, NY 11102

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Laceyanne Thomas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810476173
PECOS Enrollment IDI20260206001695
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11102 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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 Laceyanne Thomas's NPI number?

The NPI number for Laceyanne Thomas is 1124814249. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Laceyanne Thomas located?

Laceyanne Thomas practices at 2638 28th St, Astoria, NY 11102. The listed phone number is (718) 509-9345.

What is Laceyanne Thomas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Laceyanne Thomas enrolled in Medicare?

Yes. Laceyanne Thomas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laceyanne Thomas was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.