DR. MICHEL LACROIX M.D.
NPI 1316190168
Neurological Surgery in Wilkes Barre, PA

Active since October 24, 2008PECOS Enrolled
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711(570) 820-6026(570) 826-7943 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 12, 2025, Jul 30, 2020 (2 updates tracked since 2020).

About Dr. Michel Lacroix M.d. NPPES

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

DR. MICHEL LACROIX M.D. (NPI 1316190168) is an individual neurological surgery provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD435603) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316190168
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. MICHEL LACROIXCredential: M.D.
Location Address1000 E MOUNTAIN BLVDWilkes Barre, PA 18711-0027
Mailing Address100 N Academy AveDanville, PA 17822-3034 · (570) 271-6144 · Fax (570) 271-6578
Fax(570) 826-7943
Sole ProprietorNo
Enumeration DateOctober 24, 2008
Last NPPES UpdateMarch 12, 20252 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1316190168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in PA · MD435603
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1000 E MOUNTAIN BLVD, Wilkes Barre, PA 18711

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michel Lacroix M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Michel Lacroix reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optometrist
1000 E MOUNTAIN DR
Wilkes Barre, PA 18711
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18711 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Audiologist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Internal Medicine (Cardiovascular Disease)
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Nurse Practitioner
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Pharmacist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Student in an Organized Health Care Education/Training Program
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711

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 Michel Lacroix's NPI number?

The NPI number for Michel Lacroix is 1316190168. It was assigned to this individual provider in the NPPES registry on October 24, 2008.

Where is Michel Lacroix located?

Michel Lacroix practices at 1000 E Mountain Blvd, Wilkes Barre, PA 18711. The listed phone number is (570) 820-6026.

What is Michel Lacroix's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Michel Lacroix enrolled in Medicare?

Yes. Michel Lacroix is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michel Lacroix's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michel Lacroix reassigns Medicare benefits to Geisinger Clinic (Wilkes Barre, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michel Lacroix's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michel Lacroix accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michel Lacroix 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.

When was this NPI record last updated?

The NPPES record for Michel Lacroix was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.