Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

THOMAS JOSHUA LALOR NP-C
NPI 1659719979
Nurse Practitioner in Eagle River, AK

Active since June 08, 2013PECOS EnrolledAccepts Medicare Assignment
87.09/100
CMS Quality Rating
10988 SPLENDOR LOOP, EAGLE RIVER, AK 99577(850) 207-2224 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 22, 2026, Dec 28, 2021, Oct 2, 2019 and 3 more (6 updates tracked since 2017).

About Thomas Joshua Lalor Np-c NPPES

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

THOMAS JOSHUA LALOR NP-C (NPI 1659719979) is an individual nurse practitioner in Eagle River, Alaska, licensed in Alaska (125179) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1659719979
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameTHOMAS JOSHUA LALORCredential: NP-C
Location Address10988 SPLENDOR LOOPEagle River, AK 99577-8198
Mailing Address10988 Splendor LoopEagle River, AK 99577-8198 · (850) 207-2224
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 8, 2013
Last NPPES UpdateSeptember 22, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1659719979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AK · 125179
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Registered Nurse First AssistantTaxonomy 163WR0006X · License 30188 (AK)
10988 SPLENDOR LOOP, Eagle River, AK 99577

Other Identifiers 1

Medicaid1762323AK

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Joshua Lalor Np-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 ID8022381276
PECOS Enrollment IDI20170909000167, I20251029003718
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

4

Medicare enrollment records show Thomas Lalor reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Practitioner
10988 SPLENDOR LOOP
Eagle River, AK 99577
  • Reassigned Medicare billing, Alaska enrollment
General Acute Care Hospital
4315 DIPLOMACY DR
Anchorage, AK 99508
  • Reassigned Medicare billing, Texas enrollment
  • 1,373 clinicians in this Medicare group
Surgery
3220 PROVIDENCE DR STE E3-080
Anchorage, AK 99508
  • Reassigned Medicare billing, Alaska enrollment
  • 16 clinicians in this Medicare group
Surgery
4001 LAUREL ST, STE 204
Anchorage, AK 99508
  • Reassigned Medicare billing, Alaska enrollment
  • 15 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

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.

Relocation of arm vein with connection to arm artery for hemodialysis 36821
This procedure involves moving a vein in your arm and connecting it to an artery. This creates a larger, stronger vein that can be used for hemodialysis, a treatment for kidney disease. It helps clean your blood when your kidneys can't.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99577 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.43
Promoting Interoperability100
Improvement Activities40
Cost62.86

Other Providers at the Same Location NPPES

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

Nurse Practitioner
10988 SPLENDOR LOOP
EAGLE RIVER, AK 99577

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 Thomas Lalor's NPI number?

The NPI number for Thomas Lalor is 1659719979. It was assigned to this individual provider in the NPPES registry on June 8, 2013.

Where is Thomas Lalor located?

Thomas Lalor practices at 10988 Splendor Loop, Eagle River, AK 99577. The listed phone number is (850) 207-2224.

What is Thomas Lalor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Thomas Lalor enrolled in Medicare?

Yes. Thomas Lalor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Thomas Lalor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Lalor reassigns Medicare benefits to 4 organizations: Alaska First Assists, LLC (Eagle River, AK), Alaska Native Tribal Health Consortium (Anchorage, AK), Alaska Trauma & Acute Care Surgery, LLC (Anchorage, AK) and Alyeska Vascular Surgery LLC (Anchorage, AK). 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 Thomas Lalor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Lalor accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Thomas Lalor 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 Thomas Lalor was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.