CHARLES WARREN LACKEY MD
NPI 1144226291
Family Medicine in Leadville, CO

Q: What is Charles Lackey's NPI number?

The NPI number for Charles Lackey is 1144226291. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Q: What is Charles Lackey's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Lackey was last updated on March 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 23, 2005PECOS EnrolledAccepts Medicare Assignment

822 W 4TH ST, LEADVILLE, CO 80461(719) 486-1264 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 2, 2023, Feb 3, 2017 (2 updates tracked since 2017).

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About Charles Warren Lackey Md NPPES

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

CHARLES WARREN LACKEY MD (NPI 1144226291) is an individual family medicine provider in Leadville, Colorado, licensed in Colorado (19438) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Frisco, and is a graduate of Other (1974).

NPPES Registry Identity

NPI1144226291

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCHARLES WARREN LACKEYCredential: MD

Location Address822 W 4TH STLeadville, CO 80461-3861

Mailing Address822 W 4th StLeadville, CO 80461-3861 · (719) 486-1264

Phone(719) 486-1264

Sole ProprietorNo

Medical School CMSOtherGraduated 1974

Enumeration DateJune 23, 2005

Last NPPES UpdateMarch 2, 20232 updates tracked since enumeration

NPPES CertifiedMarch 2, 2023

✔ NPI 1144226291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CO · 19438

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.

822 W 4TH ST, Leadville, CO 80461

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Secondary Practice Location 1

Location 1360 Peak One Dr Ste 100Frisco, CO 80443-5948 · Phone (970) 668-4040

Other Identifiers 1

Medicaid01194380CO

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

Charles Warren Lackey Md 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 ID143246579

PECOS Enrollment IDI20051014000818

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 80461 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers14 claims31 services$5.19 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers46 claims46 services$110.39 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers19 claims19 services$175.11 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

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