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DR. AMANDA ELIZABETH LACKEY MD
NPI 1194041855
Radiology - Diagnostic Radiology in Saint Louis, MO

Active since April 20, 2010PECOS EnrolledAccepts Medicare Assignment
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY, SAINT LOUIS, MO 63110(314) 362-7200(314) 747-4189 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2025, Apr 25, 2024, Apr 10, 2024 and 1 more (4 updates tracked since 2022).

About Dr. Amanda Elizabeth Lackey Md NPPES

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

DR. AMANDA ELIZABETH LACKEY MD (NPI 1194041855) is an individual diagnostic radiology provider in Saint Louis, Missouri, licensed in Missouri (2016018709) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and maintains a secondary practice location in Joplin.

NPPES Registry Identity

NPI1194041855
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. AMANDA ELIZABETH LACKEYCredential: MD
Location Address510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGYSaint Louis, MO 63110-1016
Mailing AddressPo Box 60352Saint Louis, MO 63160-0352 · (314) 362-7200 · Fax (314) 747-4189
Phone(314) 362-7200
Fax(314) 747-4189
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2010
Enumeration DateApril 20, 2010
Last NPPES UpdateJanuary 9, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1194041855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MO · 2016018709
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
510 S KINGSHIGHWAY BLVD, Saint Louis, MO 63110
Open in Google Maps ↗

Secondary Practice Location 1

Location 11102 W 32nd StJoplin, MO 64804-3503 · Phone (417) 347-6611

Other Identifiers 1

Medicaid200033233MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CommunityCare.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. Amanda Elizabeth 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 ID345551602
PECOS Enrollment IDI20160811002023, I20230613002398
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 12

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
729 services729 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
665 services665 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
243 services243 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
241 services241 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
111 services111 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
90 services86 patients

Hospital Affiliations CMS Care Compare 2

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

Blessing Hospital

Acute Care Hospitals · Quincy, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140015
Location1005 Broadway StQuincy, IL 62301 · Adams County
Emergency services Birthing friendly

Illini Community Hospital

Critical Access Hospitals · Pittsfield, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141315
Location640 W WashingtonPittsfield, IL 62363 · Pike County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

BENJAMIN LEE MD
Radiology (Neuroradiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7092
DR. MAHAD ANWAAR MINHAS MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7200
DR. ADRIAN ALBERTO SANCHEZ MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7200
DR. ZIAD WALID TARCHA MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7200
DR. JAMES EDWARD KELLY MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7200
DR. JOSHUA S SHIMONY MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7200
RASHID FUAD AL-SUKAITI MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7092
DR. ANDREW THOMAS GREER MD
Radiology (Diagnostic Radiology)
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (314) 362-7200

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 Amanda Lackey's NPI number?

The NPI number for Amanda Lackey is 1194041855. It was assigned to this individual provider in the NPPES registry on April 20, 2010.

Where is Amanda Lackey located?

Amanda Lackey practices at 510 S Kingshighway Blvd Dept Radiology, Saint Louis, MO 63110. The listed phone number is (314) 362-7200.

What is Amanda Lackey's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Amanda Lackey enrolled in Medicare?

Yes. Amanda Lackey 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 Amanda Lackey accept?

Health plans from CommunityCare list Amanda Lackey 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 Amanda Lackey affiliated with any hospitals?

According to CMS data, Amanda Lackey is affiliated with Blessing Hospital and Illini Community Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Lackey was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.