TIMOTHY C LACKEY MD
NPI 1679529382
Pediatrics in Saint Louis, MO
About Timothy C Lackey Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY C LACKEY MD (NPI 1679529382) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (103240) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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 (PECOS)
Timothy C Lackey Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63127 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAINT LOUIS, MO 63127
SAINT LOUIS, MO 63127
SAINT LOUIS, MO 63127
SAINT LOUIS, MO 63127
SAINT LOUIS, MO 63127
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 Timothy Lackey's NPI number?
The NPI number for Timothy Lackey is 1679529382. It was assigned to this individual provider in the NPPES registry on May 25, 2006.
Where is Timothy Lackey located?
Timothy Lackey practices at 3555 Sunset Office Dr Suite 101, Saint Louis, MO 63127. The listed phone number is (314) 966-0252.
What is Timothy Lackey's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Timothy Lackey enrolled in Medicare?
Yes. Timothy Lackey is registered in the Medicare PECOS enrollment system.
What insurance does Timothy Lackey accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Timothy Lackey 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 Timothy Lackey was last updated on February 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Timothy C Lackey, MD · NPI 1679529382
Pediatrics physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since May 25, 2006.
## Identity
- **NPI:** 1679529382 (Entity type: Individual)
- **Enumerated:** May 25, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 103240 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 3555 SUNSET OFFICE DR, SUITE 101, Saint Louis, MO 63127-1015
- **Phone:** (314) 966-0252
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 4, 2013
- **Other identifiers:** Medicare UPIN U78152 (MO); Medicaid 209684513 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1679529382) · Data from the CMS NPPES public registry.