DR. LACEY BETH WALLS D.O.
NPI 1790121689
Dermatology in Concord, NC
About Dr. Lacey Beth Walls D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LACEY BETH WALLS D.O. (NPI 1790121689) is an individual dermatology provider in Concord, North Carolina, licensed in North Carolina (2018-01570) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
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
Dr. Lacey Beth Walls D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Lacey Walls reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Concord, NC 28025
- Reassigned Medicare billing, North Carolina enrollment
- 25 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 13
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Walls's NPI number?
The NPI number for Lacey Walls is 1790121689. It was assigned to this individual provider in the NPPES registry on May 17, 2013. The provider is also known as Lacey Beth Elwyn.
Where is Lacey Walls located?
Lacey Walls practices at 335 Penny Ln, Concord, NC 28025. The listed phone number is (704) 784-5901.
What is Lacey Walls's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Lacey Walls enrolled in Medicare?
Yes. Lacey Walls 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 organization bills Medicare for Lacey Walls's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lacey Walls reassigns Medicare benefits to Dermatology Group Of The Carolinas (Concord, NC). The 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 Lacey Walls's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lacey Walls accept?
Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Lacey Walls 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 Lacey Walls was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Lacey Beth Walls, D.O. · NPI 1790121689
Dermatology physician in Concord, North Carolina. Individual provider, active in the CMS NPPES registry since May 17, 2013.
## Identity
- **NPI:** 1790121689 (Entity type: Individual)
- **Enumerated:** May 17, 2013
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 2018-01570 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 335 PENNY LN, Concord, NC 28025-1221
- **Phone:** (704) 784-5901 · **Fax:** (704) 721-0413
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Dermatology Group Of The Carolinas (NPI 1437110772, Concord, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1790121689) · Data from the CMS NPPES public registry.