LACY FORD DC
NPI 1508604182
Chiropractor in Clinton, MO

Active since July 17, 2024Accepts Medicare Assignment
207 S MAIN ST, CLINTON, MO 64735(660) 885-3800 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lacy Ford Dc NPPES

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

LACY FORD DC (NPI 1508604182) is an individual chiropractor in Clinton, Missouri, licensed in Missouri (2024027037) and active in the NPI registry since July 2024. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1508604182
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameLACY FORDCredential: DC
Location Address207 S MAIN STClinton, MO 64735-2154
Mailing Address207 S Main StClinton, MO 64735-2154
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 17, 2024
Last NPPES UpdateJuly 18, 2024
NPPES CertifiedJuly 18, 2024
✔ NPI 1508604182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 2024027037
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
207 S MAIN ST, Clinton, MO 64735

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lacy Ford Dc 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 ID42741126
PECOS Enrollment IDI20240930003254

Medicare Billing Reassignment

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

Same address
Chiropractor
207 S MAIN ST
Clinton, MO 64735
  • Reassigned Medicare billing, Missouri enrollment

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

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.

Chiropractor
207 S MAIN ST
CLINTON, MO 64735
Chiropractor
207 S MAIN ST
CLINTON, MO 64735

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 Lacy Ford's NPI number?

The NPI number for Lacy Ford is 1508604182. It was assigned to this individual provider in the NPPES registry on July 17, 2024.

Where is Lacy Ford located?

Lacy Ford practices at 207 S Main St, Clinton, MO 64735. The listed phone number is (660) 885-3800.

What is Lacy Ford's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Lacy Ford enrolled in Medicare?

Yes. Lacy Ford 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.

Which organization bills Medicare for Lacy Ford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacy Ford reassigns Medicare benefits to Fordlam LLC (Clinton, MO). 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 Lacy Ford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lacy Ford was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.