LACEY HAUSER BYRAM P.A.
NPI 1639612013
Physician Assistant in Shreveport, LA

Q: What is Lacey Byram's NPI number?

The NPI number for Lacey Byram is 1639612013. It was assigned to this individual provider in the NPPES registry on December 2, 2016.

Q: What is Lacey Byram'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 Lacey Byram was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 December 02, 2016PECOS EnrolledAccepts Medicare Assignment

7925 YOUREE DR STE 200, SHREVEPORT, LA 71105(318) 212-3610(318) 212-3709 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2025, Mar 21, 2019 (2 updates tracked since 2019).

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About Lacey Hauser Byram P.a. NPPES

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

LACEY HAUSER BYRAM P.A. (NPI 1639612013) is an individual physician assistant in Shreveport, Louisiana, licensed in Louisiana (303570) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1639612013

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLACEY HAUSER BYRAMCredential: P.A.

Location Address7925 YOUREE DR STE 200Shreveport, LA 71105-5134

Mailing Address7925 Youree Dr Ste 200Shreveport, LA 71105-5134 · (318) 212-3610 · Fax (318) 212-3709

Phone(318) 212-3610

Fax(318) 212-3709

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateDecember 2, 2016

Last NPPES UpdateFebruary 3, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2025

✔ NPI 1639612013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in LA · 303570

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.

7925 YOUREE DR STE 200, Shreveport, LA 71105

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Lacey Hauser Byram P.a. 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 ID2062793458

PECOS Enrollment IDI20161222001210

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 4

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.

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

122 services80 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

56 services55 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.

45 services35 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

24 services19 patients

Hospital Affiliations CMS Care Compare

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

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190111

Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71105 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$67.06 typical visit price

range $16.64 – $133.62

Typical copayment $16.76 (range $4.16 – $33.40)

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.

Other Providers at the Same Location NPPES 14

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

JEANETTE CATHERINE PANG PA-C

Physician Assistant