JOHN P LACEY JR.
NPI 1578645305
Urology in West Bend, WI

Q: What is John Lacey's NPI number?

The NPI number for John Lacey is 1578645305. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Q: What is John Lacey's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for John Lacey was last updated on September 5, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 20, 2006PECOS Enrolled

3200 PLEASANT VALLEY RD, WEST BEND CLINIC-UROLOGY, WEST BEND, WI 53095(262) 836-7300(262) 836-7300 Get Directions Write a Review

NPPES record last updated: September 5, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About John P Lacey Jr. NPPES

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

JOHN P LACEY JR. (NPI 1578645305) is an individual urology provider in West Bend, Wisconsin, licensed in Wisconsin (31345) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578645305

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameJOHN P LACEY JR.

Location Address3200 PLEASANT VALLEY RD, WEST BEND CLINIC-UROLOGYWest Bend, WI 53095-9274

Mailing Address3200 Pleasant Valley Rd, West Bend Clinic-urologyWest Bend, WI 53095-9274 · (262) 836-7300 · Fax (262) 836-7300

Phone(262) 836-7300

Fax(262) 836-7300

Sole ProprietorNo

Enumeration DateOctober 20, 2006

Last NPPES UpdateSeptember 5, 2013

✔ NPI 1578645305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in WI · 31345

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

3200 PLEASANT VALLEY RD, West Bend, WI 53095

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Other Identifiers 5

Other7708Internal Id-motor Vehicle Id

Medicare PIN73601 2266WI

Medicare PIN68086 1041WI

Medicare UPINH20051

Medicaid1578645305WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John P Lacey Jr. 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 53095 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone A4312

DME-Orthotic Devices · category DF000N

1 supplier18 claims18 services$14.59 avg. paid by Medicare

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

1 supplier28 claims5,295 services$0.10 avg. paid by Medicare

Urinary catheter anchoring device, adhesive skin attachment, each A4333

DME-Orthotic Devices · category DF000N

2 suppliers47 claims83 services$1.95 avg. paid by Medicare

Urinary catheter anchoring device, leg strap, each A4334

DME-Orthotic Devices · category DF000N

1 supplier45 claims49 services$4.36 avg. paid by Medicare

Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338

DME-Orthotic Devices · category DF000N

1 supplier48 claims48 services$10.83 avg. paid by Medicare

Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each A4340

DME-Orthotic Devices · category DF000N

2 suppliers31 claims31 services$29.58 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

ABDEL HAI ISMAIL ALQWASMI M.D

Internal Medicine (Hematology & Oncology)

3200 PLEASANT VALLEY RD, DIVISION OF NEOPLASTIC DISEASES
WEST BEND, WI 53095

Washington County (262) 836-7200

MARY OGNENOFF OTR

Occupational Therapist