DR. THOMAS A. LACY MD
NPI 1376561985
General Practice in Orlando, FL
NPI Status: Active since July 18, 2006
Contact Information
11715 ORPINGTON STREET, SUITE A
TLC PEDIATRICS AND ADOLESCENT MEDICINE IN ASSOC WITH NE
ORLANDO, FL
ZIP 32817
Phone: (407) 380-9115
Fax: (407) 380-9189
- Individual
- Male
- General Practice
- Accepts Insurance
- PECOS Enrolled
About THOMAS LACY
This page provides the complete NPI Profile along with additional information for Thomas Lacy, a primary care provider established in Orlando, Florida with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1376561985 assigned on July 2006. The practitioner's primary taxonomy code is 208D00000X with license number ME58227 (FL). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1376561985
- Provider Name
- DR. THOMAS A. LACY MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 11715 ORPINGTON STREET, SUITE A TLC PEDIATRICS AND ADOLESCENT MEDICINE IN ASSOC WITH NE ORLANDO, FL 32817
- Location Phone
- (407) 380-9115
- Location Fax
- (407) 380-9189
- Mailing Address
- P.O. BOX 191 PROVIDER ENROLLMENT DEPARTMENT ROCKLAND, DE 19732
- Mailing Phone
- (302) 651-4488
- Mailing Fax
- (407) 380-9189
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-18-2006
- Last Update Date
- 12-07-2012
- Code Navigator
A primary care provider (PCP) like Thomas Lacy sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME58227
- License State
- FL
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | ME58227 (FL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1826 ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access) - HMO
- Bronze 1826 + Adult Dental + Adult Vision ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access) - HMO
- Bronze Savings 1820 (Primary Care Copay Visits 1-5, Open Access) - HMO
- Bronze Savings 1820 + Adult Dental + Adult Vision (Primary Care Copay Visits 1-5, Open Access) - HMO
- Bronze Standard 1828 - HMO
- Bronze Value 1814 (High Value Network Savings, Open Access) - HMO
- Bronze Value 1814 + Adult Dental + Adult Vision (High Value Network Savings, Open Access) - HMO
- Catastrophic 1746 (Primary Care Copay Visits 1-3, Open Access) - HMO
- Gold 1742 (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access) - HMO
- Gold 1742 + Adult Dental + Adult Vision (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1103520 | OTHER (01) | FL | UNITED HEALTHCARE |
| 4828516 | OTHER (01) | FL | CIGNA HEALTHCARE |
| 270015 | OTHER (01) | FL | AMERIGROUP |
| 257675 | OTHER (01) | FL | USA MANAGED CARE NETWORK |
| 4006175 | OTHER (01) | FL | AETNA HEALTHCARE |
| FAO23 | OTHER (01) | FL | FHHS |
| 11452 | OTHER (01) | FL | BCBS |
| 063917600 | MEDICAID (05) | FL | |
| C79108 | MEDICARE UPIN (02) | FL | |
| 201529976 | OTHER (01) | FL | BEECHSTREET |
Medicare Participation & PECOS Enrollment Status
Thomas Lacy is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1376561985, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
ORLANDO, FL 32817
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376561985, enumerated as an "individual" on July 18, 2006.
The provider is located at 11715 ORPINGTON STREET, SUITE A TLC PEDIATRICS AND ADOLESCENT MEDICINE IN ASSOC WITH NE ORLANDO, FL 32817 and the phone number is (407) 380-9115.
General Practice with taxonomy code 208D00000X.
The provider might be accepting Accepts: Health First Commercial Plans, Inc., Medicare,. Please consult your insurance carrier or call the provider to verify.
