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

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

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: August 09, 2026.

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

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
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

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 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
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 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.

Family Medicine
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Physical Medicine & Rehabilitation
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Orthopaedic Surgery
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Orthopaedic Surgery
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Family Medicine (Sports Medicine)
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Orthopaedic Surgery (Sports Medicine)
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Physician Assistant (Surgical)
1225 15TH ST STE 2100
SANTA MONICA, CA 90404
Nurse Practitioner (Family)
1225 15TH ST STE 2100
SANTA MONICA, CA 90404

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 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.

Where is Lacey Pflibsen located?

Lacey Pflibsen practices at 1225 15th St Ste 2100, Santa Monica, CA 90404. The listed phone number is (310) 319-1234.

What is Lacey Pflibsen's specialty?

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

Is Lacey Pflibsen enrolled in Medicare?

Yes. Lacey Pflibsen 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.

What insurance does Lacey Pflibsen accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Sanford Health Plan and Security Health Plan list Lacey Pflibsen 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.

Is Lacey Pflibsen affiliated with any hospitals?

According to CMS data, Lacey Pflibsen is affiliated with Mayo Clinic Health System Eau Claire Hospital, Mayo Clinic Health System-Northland and Mayo Clinic Health System-Red Cedar Inc.

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 47 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.