MR. JEROME P. LACY MD
NPI 1649225020
Internal Medicine - Cardiovascular Disease in Louisville, KY

Q: What is Jerome Lacy's NPI number?

The NPI number for Jerome Lacy is 1649225020. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Q: What is Jerome Lacy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Jerome Lacy was last updated on February 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 May 23, 2006PECOS Enrolled

6420 DUTCHMANS PKWY, SUITE 200, LOUISVILLE, KY 40205(502) 891-8300(502) 891-8338 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mr. Jerome P. Lacy Md NPPES

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

MR. JEROME P. LACY MD (NPI 1649225020) is an individual cardiovascular disease provider in Louisville, Kentucky, licensed in Kentucky (15898) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649225020

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameMR. JEROME P. LACYCredential: MD

Location Address6420 DUTCHMANS PKWY, SUITE 200Louisville, KY 40205-3372

Mailing AddressPo Box 950232Louisville, KY 40295-0232 · (502) 891-8300 · Fax (502) 891-8338

Phone(502) 891-8300

Fax(502) 891-8338

Sole ProprietorNo

Enumeration DateMay 23, 2006

Last NPPES UpdateFebruary 24, 2015

✔ NPI 1649225020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in KY · 15898

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

6420 DUTCHMANS PKWY, Louisville, KY 40205

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Other Identifiers 18

Medicare ID-Type Unspecified0558402KY

Medicaid100388580AIN

Medicare PIN0780805KY

Other2433840000KY · Passport Advantage Pin

Medicare ID-Type Unspecified0368212KY

Medicare PINP400038660KY

Other000000044915KY · Anthem Pin

Other50032166KY · Passport- Cts

Medicare PIN00059009KY

Medicare ID-Type Unspecified0558212KY

Medicare ID-Type Unspecified1271808KY

Medicaid100388580FIN

Medicaid64158983KY

Medicare PIN060049843KY

Medicare UPINC62997KY

Other4012633KY · Aetna- Cts

Other1056116KY · Passport

Medicare ID-Type Unspecified0259805KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jerome P. Lacy Md 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 40205 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers23 claims26 services$15.93 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers21 claims24 services$75.91 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.

JAMES P DONOVAN MD

Internal Medicine (Cardiovascular Disease)

6420 DUTCHMANS PKWY, SUITE 200
LOUISVILLE, KY 40205

Jefferson County (502) 891-8300

JOSEPH A LASH MD

Internal Medicine (Cardiovascular Disease)

6420 DUTCHMANS PKWY, SUITE 200
LOUISVILLE, KY 40205

Jefferson County (502) 891-8300

JOHN S HARRIS MD

Internal Medicine (Cardiovascular Disease)

6420 DUTCHMANS PKWY, SUITE 200
LOUISVILLE, KY 40205

Jefferson County (502) 891-8300

STACEY LYNN ZAPRZALKA

Nurse Practitioner (Family)

6420 DUTCHMANS PKWY, SUITE 200
LOUISVILLE, KY 40205

Jefferson County (502) 891-8300

DIVYESH R BHAKTA MD

Internal Medicine (Interventional Cardiology)

6420 DUTCHMANS PKWY, SUITE 200
LOUISVILLE, KY 40205

Jefferson County (502) 891-8300

DR. MARION D EYRE MD

Otolaryngology

6420 DUTCHMANS PKWY, SUITE 380
LOUISVILLE, KY 40205

Jefferson County (502) 894-9753

JANET LYNN SMITH MD

Internal Medicine (Cardiovascular Disease)

6420 DUTCHMANS PKWY, SUITE 200
LOUISVILLE, KY 40205

Jefferson County (502) 891-8300

CRISTAL L POLLAK APRN

Nurse Practitioner (Family)

6420 DUTCHMANS PKWY, SUITE 200
LOUISVILLE, KY 40205

Jefferson County (502) 891-8300

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 Jerome Lacy's NPI number?

The NPI number for Jerome Lacy is 1649225020. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Jerome Lacy located?

Jerome Lacy practices at 6420 Dutchmans Pkwy Suite 200, Louisville, KY 40205. The listed phone number is (502) 891-8300.

What is Jerome Lacy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Jerome Lacy enrolled in Medicare?

Yes. Jerome Lacy is registered in the Medicare PECOS enrollment system.

What insurance does Jerome Lacy accept?

Health plans from CareSource list Jerome Lacy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerome Lacy was last updated on February 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.