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DR. JUDITH ANNETTE LACY M.D.
NPI 1487764601
Obstetrics & Gynecology in Salt Lake City, UT

Active since August 30, 2006PECOS Enrolled
1200 E 3900 S, SALT LAKE CITY, UT 84124(801) 268-7111 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 17, 2024, Dec 29, 2016, Nov 13, 2015 (3 updates tracked since 2015).

About Dr. Judith Annette Lacy M.d. NPPES

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

DR. JUDITH ANNETTE LACY M.D. (NPI 1487764601) is an individual obstetrics & gynecology provider in Salt Lake City, Utah, licensed in Utah (127470501205) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487764601
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. JUDITH ANNETTE LACYCredential: M.D.
Location Address1200 E 3900 SSalt Lake City, UT 84124-1300
Mailing AddressPo Box 749363Atlanta, GA 30374-9363
Phone(801) 268-7111
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateJanuary 15, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2025
✔ NPI 1487764601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in UT · 127470501205
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1200 E 3900 S, Salt Lake City, UT 84124
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Judith Annette Lacy 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84124 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

MARK POWELL
Occupational Therapist
1200 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 268-7111
MATTHEW L PETERSON MD
Anesthesiology
1200 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 993-9530
DENNIS L. MORRIS MD
Anesthesiology
1200 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 993-9530
MRS. ELIZABETH ANN LOCKWOOD PT
Physical Therapist
1200 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 268-7111
MRS. AMBER LYNNE HARDMAN DNP
Nurse Practitioner (Critical Care Medicine)
1200 E 3900 S
MILLCREEK, UT 84124
Salt Lake County (801) 268-7111
DR. TAMMY KATHRYNE PARK MD
Emergency Medicine
1200 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 268-7975
DR. ADAM C STILES M.D.
Emergency Medicine
1200 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 268-7975
MS. PAULA ANN LARSEN LCSW
Social Worker (Clinical)
1200 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 268-7111

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 Judith Lacy's NPI number?

The NPI number for Judith Lacy is 1487764601. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Judith Lacy located?

Judith Lacy practices at 1200 E 3900 S, Salt Lake City, UT 84124. The listed phone number is (801) 268-7111.

What is Judith Lacy's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Judith Lacy enrolled in Medicare?

Yes. Judith Lacy is registered in the Medicare PECOS enrollment system.

What insurance does Judith Lacy accept?

Health plans from Oscar Health Maintenance Organization of Florida, Oscar Insurance Company and University of Utah Health Plans list Judith Lacy 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 Judith Lacy was last updated on January 15, 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.