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BRIAN E. LACY PH.D; M.D
NPI 1518980135
Internal Medicine - Gastroenterology in Lebanon, NH

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
76.2/100
CMS Quality Rating
1 MEDICAL CENTER DR, DHMC. DIVISION OF GASTROENTEROLOGY, LEBANON, NH 03756(603) 650-5215 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Brian E. Lacy Ph.d; M.d NPPES

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

BRIAN E. LACY PH.D; M.D (NPI 1518980135) is an individual gastroenterology provider in Lebanon, New Hampshire, licensed in New Hampshire (9138) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1518980135
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameBRIAN E. LACYCredential: PH.D; M.D
Location Address1 MEDICAL CENTER DR, DHMC. DIVISION OF GASTROENTEROLOGYLebanon, NH 03756-1000
Mailing Address1 Medical Center Dr, Dhmc. Division Of GastroenterologyLebanon, NH 03756-1000
Phone(603) 650-5215
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1991
Enumeration DateJuly 25, 2006
Last NPPES UpdateOctober 20, 2020
NPPES CertifiedOctober 20, 2020
✔ NPI 1518980135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NH · 9138
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1 MEDICAL CENTER DR, Lebanon, NH 03756
Open in Google Maps ↗

Secondary Practice Location 1

Location 14500 San Pablo Rd SJacksonville, FL 32224-1865 · Phone (904) 953-2000

Other Identifiers 2

Medicaid0RE3224VT
Medicaid80003224NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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

Brian E. Lacy Ph.d; M.d 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 ID1658399902
PECOS Enrollment IDI20180306002821
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 Brian Lacy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mayo Clinic Jacksonville
1,082 mi
Health Service
4500 SAN PABLO RD S
Jacksonville, FL 32224
  • Reassigned Medicare billing, Florida enrollment
  • 1,828 clinicians in this Medicare group
NPI 1174143986 (904) 953-2000

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 11

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.

Other diagnostic procedure for gastrointestine 91299
A diagnostic procedure for the gastrointestinal tract helps identify issues affecting your digestive system. This could involve tests like endoscopy, where a thin tube with a camera is used to view your digestive tract, or a biopsy, where a small tissue sample is taken for analysis.
91 services91 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
78 services75 patients
Study of rectum sensitivity and function 91122
This procedure examines the rectum's sensitivity and functionality. It involves a small, soft balloon inserted into the rectum and inflated to various degrees. The goal is to assess how well your rectum can sense and respond to different volumes. It's a crucial test for diagnosing certain digestive issues.
51 services51 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
48 services48 patients
Monitoring and recording of esophageal function through nasal tube with electrode 91037
This procedure involves placing a thin tube with an electrode through your nose and into your esophagus. It helps to monitor and record the function of your esophagus, aiding in diagnosing any potential issues.
47 services47 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
41 services41 patients

Hospital Affiliations CMS Care Compare

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

Mayo Clinic

Acute Care Hospitals · Jacksonville, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100151
Location4500 San Pablo RdJacksonville, FL 32224 · Duval County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03756 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

76.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.33
Promoting Interoperability100
Improvement Activities40
Cost51.32

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.

MRS. JANICE M BRENNAN APRN
Nurse Practitioner (Family)
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF OCCUPATION MEDICINE
LEBANON, NH 03756
Grafton County (603) 560-5000
MS. SHELLEY GRACE BENSON R.PH.
Pharmacist (Oncology)
1 MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (603) 650-5417
ELIAS LOUKAS M.D.
Internal Medicine
1 MEDICAL CENTER DR, DHMC SECTION OF HOSPITAL MEDICINE
LEBANON, NH 03756
Grafton County (603) 650-8380
SARAH S SEO MD
Otolaryngology
1 MEDICAL CENTER DR, OTOLARYNGOLOGY
LEBANON, NH 03756
Grafton County (603) 650-8123
DR. SRINIVAS J. IVATURY MD
Colon & Rectal Surgery
1 MEDICAL CENTER DR, COLON & RECTAL SURGERY DEPARTMENT
LEBANON, NH 03756
Grafton County (603) 650-8113
TIMOTHY EARLEY D.O.
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (201) 694-0663
HANNAH ELIZABETH FOOTE BENSIMHON M.D.
Internal Medicine (Cardiovascular Disease)
1 MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (603) 650-5000
EMILE JOSEPH HASAN M.D.
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (603) 650-5000

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 Brian Lacy's NPI number?

The NPI number for Brian Lacy is 1518980135. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Brian Lacy located?

Brian Lacy practices at 1 Medical Center Dr Dhmc. Division Of Gastroenterology, Lebanon, NH 03756. The listed phone number is (603) 650-5215.

What is Brian Lacy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Brian Lacy enrolled in Medicare?

Yes. Brian Lacy 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 Brian Lacy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Lacy reassigns Medicare benefits to Mayo Clinic Jacksonville (Jacksonville, FL). 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 Brian Lacy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Lacy accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Brian 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.

Is Brian Lacy affiliated with any hospitals?

According to CMS data, Brian Lacy is affiliated with Mayo Clinic.

When was this NPI record last updated?

The NPPES record for Brian Lacy was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.