MRS. LACI LYNN REILLY APRN
NPI 1215530522
Nurse Practitioner - Family in Copenhagen, NY

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since November 18, 2020PECOS EnrolledAccepts Medicare Assignment

70.91/100

CMS Quality Rating

9732 STATE ROUTE 12, COPENHAGEN, NY 13626(719) 250-1131 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 5, 2023, Jan 25, 2023, Sep 17, 2022 and 2 more (5 updates tracked since 2020).

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About Mrs. Laci Lynn Reilly Aprn NPPES

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

MRS. LACI LYNN REILLY APRN (NPI 1215530522) is an individual family provider in Copenhagen, New York, licensed in New York (352408) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Lewis County General Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1215530522

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LACI LYNN REILLYCredential: APRN

Location Address9732 STATE ROUTE 12Copenhagen, NY 13626-2906

Mailing Address9732 State Route 12Copenhagen, NY 13626-2906 · (719) 250-1131

Phone(719) 250-1131

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 18, 2020

Last NPPES UpdateDecember 5, 20235 updates tracked since enumeration

NPPES CertifiedDecember 5, 2023

✔ NPI 1215530522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 352408

9732 STATE ROUTE 12, Copenhagen, NY 13626

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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

Mrs. Laci Lynn Reilly Aprn 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 ID446647515

PECOS Enrollment IDI20220420002705, I20231016002783

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.

Hospital Affiliations CMS Care Compare

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

Lewis County General Hospital

Critical Access Hospitals · Lowville, NY

OwnershipGovernment - Local

CMS Certification Number331317

Location7785 North State StreetLowville, NY 13367 · Lewis County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13626 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

70.91/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

54.01

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 5

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers21 claims21 services$18.51 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 suppliers21 claims21 services$96.20 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

3 suppliers14 claims1,380 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

2 suppliers14 claims810 services$0.79 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers21 claims21 services$25.91 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 2

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

NORMAN BRUCE SCOTT D.O.

Family Medicine

9732 STATE ROUTE 12
COPENHAGEN, NY 13626

Lewis County (315) 688-2305

ROGER B SHAMBO, MD, LLC