JOSEPH R. LACH M.D.
NPI 1518996792
Internal Medicine in Sedona, AZ

Active since July 01, 2006PECOS EnrolledAccepts Medicare Assignment
77.01/100
CMS Quality Rating
3700 W STATE ROUTE 89A, SEDONA, AZ 86336(928) 204-4944 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 22, 2022, Dec 7, 2021 (2 updates tracked since 2021).

About Joseph R. Lach M.d. NPPES

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

JOSEPH R. LACH M.D. (NPI 1518996792) is an individual internal medicine provider in Sedona, Arizona, licensed in Arizona (60069) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (1985).

NPPES Registry Identity

NPI1518996792
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSEPH R. LACHCredential: M.D.
Location Address3700 W STATE ROUTE 89ASedona, AZ 86336-4937
Mailing Address1200 N Beaver St, Attn: Payer CredentialingFlagstaff, AZ 86001-3118 · (928) 213-6235
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1985
Enumeration DateJuly 1, 2006
Last NPPES UpdateDecember 22, 20222 updates tracked since enumeration
NPPES CertifiedDecember 22, 2022
NPI 1518996792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in AZ · 60069 Licensed in OH · 35-05-3812
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3700 W STATE ROUTE 89A, Sedona, AZ 86336

Other Identifiers 1

Medicaid0724658OH

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Joseph R. Lach 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 ID3678528163
PECOS Enrollment IDI20210302002186
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.

Areas of Expertise CMS Part B claims 18

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
805 services426 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
326 services326 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
326 services326 patients
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.
205 services166 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
171 services162 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
64 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86336 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

77.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.66
Promoting Interoperability100
Improvement Activities40
Cost63.71

Reported Quality Measures

Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
100%43 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%206 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Radiation Oncology)
3700 W STATE ROUTE 89A, VERDE VALLEY MEDICAL CENTER - SEDONA
SEDONA, AZ 86336
Emergency Medicine
3700 W STATE ROUTE 89A
SEDONA, AZ 86336
Emergency Medicine
3700 W STATE ROUTE 89A
SEDONA, AZ 86336
Emergency Medicine
3700 W STATE ROUTE 89A
SEDONA, AZ 86336
Emergency Medicine
3700 W STATE ROUTE 89A
SEDONA, AZ 86336
Emergency Medicine
3700 W STATE ROUTE 89A
SEDONA, AZ 86336
Emergency Medicine
3700 W STATE ROUTE 89A
SEDONA, AZ 86336
Radiology (Radiation Oncology)
3700 W STATE ROUTE 89A, VERDE VALLEY MEDICAL CENTER - SEDONA
SEDONA, AZ 86336

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 Joseph Lach's NPI number?

The NPI number for Joseph Lach is 1518996792. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is Joseph Lach located?

Joseph Lach practices at 3700 W State Route 89A, Sedona, AZ 86336. The listed phone number is (928) 204-4944.

What is Joseph Lach's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Joseph Lach enrolled in Medicare?

Yes. Joseph Lach 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.

What insurance does Joseph Lach accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Joseph Lach 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 Joseph Lach was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.