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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show John Lacey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Froedtert & the Medical College Of Wisconsin Community Physicians, Inc.
14 mi
Internal Medicine
W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,294 clinicians in this Medicare group
NPI 1568787448 (262) 255-2500
The Medical College Of Wisconsin, Inc.
23 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101

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

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.

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
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 677-6805
MR. MATTHEW R MUELLER CRNA
Nurse Anesthetist, Certified Registered
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 836-7300
CHRISTOPHER JON LEICHLITER M.D.
Anesthesiology
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 334-2400
KAITLYN SOLVESON APRN-NP
Nurse Practitioner
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 334-5533
JENNIFER ESSER REPPAS PA-C
Physician Assistant (Surgical)
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 836-7300
FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.
Durable Medical Equipment & Medical Supplies
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 334-3451
JANET GOLDMAN MD
Obstetrics & Gynecology
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 836-7300

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 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.

Where is John Lacey located?

John Lacey practices at 3200 Pleasant Valley Rd West Bend Clinic-Urology, West Bend, WI 53095. The listed phone number is (262) 836-7300.

What is John Lacey's specialty?

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

Is John Lacey enrolled in Medicare?

Yes. John Lacey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Lacey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Lacey reassigns Medicare benefits to 2 organizations: Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). Each 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 John Lacey'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 John Lacey was last updated on September 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.