DR. CHARLES W LACKEY D.O.
NPI 1528016532
Radiology - Diagnostic Radiology in Newburgh, IN

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
95.57/100
CMS Quality Rating
100 ST MARYS EPWORTH XING, STE. A500, NEWBURGH, IN 47630(812) 471-1591(812) 471-6650 Get Directions Write a Review

NPPES record last updated: May 29, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Charles W Lackey D.o. NPPES

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

DR. CHARLES W LACKEY D.O. (NPI 1528016532) is an individual diagnostic radiology provider in Newburgh, Indiana, licensed in Indiana (99025381A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Rutgers New Jersey Medical School (1997).

NPPES Registry Identity

NPI1528016532
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. CHARLES W LACKEYCredential: D.O.
Location Address100 ST MARYS EPWORTH XING, STE. A500Newburgh, IN 47630-9698
Mailing AddressPo Box 138Evansville, IN 47701-0138 · (812) 471-1591 · Fax (812) 471-6650
Fax(812) 471-6650
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1997
Enumeration DateMay 4, 2006
Last NPPES UpdateMay 29, 2019
NPI 1528016532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in IN · 99025381A
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedSpecialistTaxonomy 174400000X
100 ST MARYS EPWORTH XING, Newburgh, IN 47630

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

Dr. Charles W Lackey D.o. 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 ID7416852157
PECOS Enrollment IDI20070627000032
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 27

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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
5,499 services2,773 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
5,497 services2,772 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
2,525 services1,276 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
773 services367 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
721 services302 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
531 services255 patients

Hospital Affiliations CMS Care Compare 5

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

Marion General Hospital

Acute Care Hospitals · Marion, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150011
Location441 N Wabash AveMarion, IN 46952 · Grant County
Emergency services Birthing friendly

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Ascension St Vincent Evansville

Acute Care Hospitals · Evansville, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150100
Location3700 Washington AveEvansville, IN 47750 · Vanderburgh County
Emergency services Birthing friendly

Dupont Hospital LLC

Acute Care Hospitals · Fort Wayne, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150150
Location2520 E Dupont RdFort Wayne, IN 46825 · Allen County
Emergency services Birthing friendly

Adams Memorial Hospital

Critical Access Hospitals · Decatur, IN
OwnershipGovernment - Local
CMS Certification Number151330
Location1100 Mercer AveDecatur, IN 46733 · Adams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47630 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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.

95.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.32
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

Genetic Counselor, MS
100 ST MARYS EPWORTH XING
NEWBURGH, IN 47630
Radiology (Diagnostic Radiology)
100 ST MARYS EPWORTH XING, STE. A500
NEWBURGH, IN 47630
Family Medicine
100 ST MARYS EPWORTH XING, STE A300
NEWBURGH, IN 47630
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
100 ST MARYS EPWORTH XING, SUITE A500
NEWBURGH, IN 47630
Pharmacy (Community/Retail Pharmacy)
100 ST MARYS EPWORTH XING
NEWBURGH, IN 47630
Radiology (Diagnostic Radiology)
100 ST MARYS EPWORTH XING, STE A500
NEWBURGH, IN 47630
Physical Therapist
100 ST MARYS EPWORTH XING, STE. A500
NEWBURGH, IN 47630
Physical Therapist
100 ST MARYS EPWORTH XING, STE A500
NEWBURGH, IN 47630

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 Charles Lackey's NPI number?

The NPI number for Charles Lackey is 1528016532. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Charles Lackey located?

Charles Lackey practices at 100 St Marys Epworth Xing Ste. A500, Newburgh, IN 47630. The listed phone number is (812) 471-1591.

What is Charles Lackey's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Charles Lackey enrolled in Medicare?

Yes. Charles Lackey 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 Charles Lackey accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Charles Lackey 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 Charles Lackey affiliated with any hospitals?

According to CMS data, Charles Lackey is affiliated with Marion General Hospital, Lutheran Hospital Of Indiana, Ascension St Vincent Evansville, Dupont Hospital LLC and Adams Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Charles Lackey was last updated on May 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.