LACEY MARIE MARTIN PA-C
NPI 1639887011
Physician Assistant in Casper, WY

Active since November 14, 2022PECOS EnrolledAccepts Medicare Assignment
1441 WILKINS CIR, CASPER, WY 82601(307) 233-2700(307) 472-2883 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 11, 2024, Nov 14, 2022 (2 updates tracked since 2022).

About Lacey Marie Martin Pa-c NPPES

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

LACEY MARIE MARTIN PA-C (NPI 1639887011) is an individual physician assistant in Casper, Wyoming, licensed in Wyoming (PA1061) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with Wyoming Medical Center, and maintains a secondary practice location in Savannah.

NPPES Registry Identity

NPI1639887011
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLACEY MARIE MARTINCredential: PA-C
Location Address1441 WILKINS CIRCasper, WY 82601-1337
Mailing Address1441 Wilkins CirCasper, WY 82601-1337 · (307) 233-2700 · Fax (307) 472-2883
Fax(307) 472-2883
Sole ProprietorNo
Medical School CMSSouthern College Of Medicine And SurgeryGraduated 2022
Enumeration DateNovember 14, 2022
Last NPPES UpdateDecember 11, 20242 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
NPI 1639887011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in WY · PA1061 Licensed in GA · 1195040
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.

1441 WILKINS CIR, Casper, WY 82601

Secondary Practice Location 1

Location 1206 Sugar Mill DrSavannah, GA 31419-9437 · Phone (706) 614-6168

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

Lacey Marie Martin Pa-c 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 ID1456716026
PECOS Enrollment IDI20230503003509
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
408 services319 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
150 services34 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
91 services34 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
42 services37 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients

Hospital Affiliations CMS Care Compare 3

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

Wyoming Medical Center

Acute Care Hospitals · Casper, WY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number530012
Location1233 East 2nd StCasper, WY 82601 · Natrona County
Emergency services Birthing friendly

St Johns Medical Center

Acute Care Hospitals · Jackson, WY
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number530015
Location625 East BroadwayJackson, WY 83001 · Teton County
Emergency services Birthing friendly

Memorial Hospital Of Converse County

Critical Access Hospitals · Douglas, WY
OwnershipGovernment - Local
CMS Certification Number531302
Location111 South 5th StreetDouglas, WY 82633 · Converse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82601 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
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 12

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

Nurse Practitioner
1441 WILKINS CIR
CASPER, WY 82601
Physician Assistant (Medical)
1441 WILKINS CIR
CASPER, WY 82601
Nurse Anesthetist, Certified Registered
1441 WILKINS CIR
CASPER, WY 82601
Internal Medicine (Gastroenterology)
1441 WILKINS CIR
CASPER, WY 82601
Nurse Practitioner (Family)
1441 WILKINS CIR
CASPER, WY 82601
Nurse Practitioner
1441 WILKINS CIR
CASPER, WY 82601
Nurse Practitioner (Family)
1441 WILKINS CIR
CASPER, WY 82601
Physician Assistant
1441 WILKINS CIR
CASPER, WY 82601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639887011, enumerated as an "individual" on November 14, 2022.

The provider is located at 1441 WILKINS CIR CASPER, WY 82601 and the phone number is (307) 233-2700.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming and. Please consult your insurance carrier or call the provider to verify.

Lacey Martin is affiliated with: WYOMING MEDICAL CENTER, ST JOHNS MEDICAL CENTER and MEMORIAL HOSPITAL OF CONVERSE COUNTY.