MRS. LACY VOTH PA-C
NPI 1578995379
Physician Assistant in Fort Worth, TX

Q: What is Lacy Voth's NPI number?

The NPI number for Lacy Voth is 1578995379. It was assigned to this individual provider in the NPPES registry on August 2, 2013.

Q: What is Lacy Voth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Lacy Voth was last updated on June 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 02, 2013PECOS Enrolled

724 PENNSYLVANIA AVE, FORT WORTH, TX 76104(817) 336-1200 Get Directions Write a Review

NPPES record last updated: June 16, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Mrs. Lacy Voth Pa-c NPPES

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

MRS. LACY VOTH PA-C (NPI 1578995379) is an individual physician assistant in Fort Worth, Texas and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578995379

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. LACY VOTHCredential: PA-C

Location Address724 PENNSYLVANIA AVEFort Worth, TX 76104-2221

Mailing Address724 Pennsylvania AveFort Worth, TX 76104-2221 · (817) 336-1200

Phone(817) 336-1200

Sole ProprietorYes

Enumeration DateAugust 2, 2013

Last NPPES UpdateJune 16, 2016

✔ NPI 1578995379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

724 PENNSYLVANIA AVE, Fort Worth, TX 76104

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lacy Voth Pa-c 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 76104 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

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

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

8 suppliers103 claims104 services$182.83 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 5

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

MRS. REBECCA NEILI WOLVERTON FNP-C

Nurse Practitioner (Family)