LACEY RACHEL PFLIBSEN M.D.
NPI 1750735718
Orthopaedic Surgery - Hand Surgery in Santa Monica, CA

Q: What is Lacey Pflibsen's NPI number?

The NPI number for Lacey Pflibsen is 1750735718. It was assigned to this individual provider in the NPPES registry on April 15, 2016.

Q: What is Lacey Pflibsen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Q: When was this NPI record last updated?

The NPPES record for Lacey Pflibsen was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 15, 2016PECOS EnrolledAccepts Medicare Assignment

1225 15TH ST STE 2100, SANTA MONICA, CA 90404(310) 319-1234 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 5, 2026, Feb 24, 2023, Sep 10, 2020 and 1 more (4 updates tracked since 2018).

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About Lacey Rachel Pflibsen M.d. NPPES

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

LACEY RACHEL PFLIBSEN M.D. (NPI 1750735718) is an individual hand surgery provider in Santa Monica, California, licensed in California (A177320) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System Eau Claire Hospital, and is a graduate of Creighton University School Of Medicine (2016).

NPPES Registry Identity

NPI1750735718

Entity TypeIndividualFemale

Primary Taxonomy207XS0106X

Provider Legal NameLACEY RACHEL PFLIBSENCredential: M.D.

Location Address1225 15TH ST STE 2100Santa Monica, CA 90404-1101

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631

Phone(310) 319-1234

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2016

Enumeration DateApril 15, 2016

Last NPPES UpdateJuly 1, 20264 updates tracked since enumeration

NPPES CertifiedJuly 1, 2026

✔ NPI 1750735718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0106X

License✔ Licensed in CA · A177320

Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedPlastic SurgeryTaxonomy 208200000X · License A177320 (CA)

1225 15TH ST STE 2100, Santa Monica, CA 90404

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Sanford Health Plan.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

Lacey Rachel Pflibsen M.d. 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 ID2668765116

PECOS Enrollment IDI20230309000440, I20260608001364

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

Medicare enrollment records show Lacey Pflibsen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The University Of California

3.1 mi

Orthopedic

1000 VETERAN AVE, ROOM 22-64
Los Angeles, CA 90095

Reassigned Medicare billing, California enrollment
78 clinicians in this Medicare group

NPI 1679918395 (310) 825-5858

Mayo Clinic

1,552 mi

Infectious Disease

200 1ST ST SW
Rochester, MN 55905

Reassigned Medicare billing, Minnesota enrollment
6,534 clinicians in this Medicare group

NPI 1114343860 (507) 284-2511

Mayo Clinic Health System-Northwest Wisconsin Region, Inc.

1,597 mi

Multi-Specialty

2321 STOUT RD
Menomonie, WI 54751

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1154372944 (Wisconsin)
1,248 clinicians in this Medicare group

NPI 1235666967 (715) 235-5531

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 6

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.

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.

46 services40 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

40 services40 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

19 services17 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.

19 services19 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.

18 services15 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

17 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520070

Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County

Emergency services Birthing friendly

Mayo Clinic Health System-Northland

Critical Access Hospitals · Barron, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521315

Location1222 E Woodland AveBarron, WI 54812 · Barron County

Emergency services

Mayo Clinic Health System-Red Cedar Inc

Critical Access Hospitals · Menomonie, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521340

Location2321 Stout RdMenomonie, WI 54751 · Dunn County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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 20

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

DR. SHANE ALAN HERVEY MD

Family Medicine