JACEY ANE LEPAGE M.D.
NPI 1790166494
Surgery - Trauma Surgery in Detroit, MI

Active since June 18, 2015PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
22101 MOROSS RD, DETROIT, MI 48236(313) 343-4000 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2021, Aug 24, 2020 (2 updates tracked since 2020).

About Jacey Ane Lepage M.d. NPPES

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

JACEY ANE LEPAGE M.D. (NPI 1790166494) is an individual trauma surgery provider in Detroit, Michigan, licensed in Indiana (01086554A) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of University Of Colorado School Of Medicine, Aurora (2015).

NPPES Registry Identity

NPI1790166494
Entity TypeIndividualFemale
Primary Taxonomy2086S0127X
Provider Legal NameJACEY ANE LEPAGECredential: M.D.
Location Address22101 MOROSS RDDetroit, MI 48236-2148
Mailing Address22101 Moross RdDetroit, MI 48236-2148
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, AuroraGraduated 2015
Enumeration DateJune 18, 2015
Last NPPES UpdateOctober 12, 20212 updates tracked since enumeration
NPPES CertifiedOctober 12, 2021
NPI 1790166494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License Licensed in IN · 01086554A
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301107377 (MI)
22101 MOROSS RD, Detroit, MI 48236

Other Names 1

Former Name (1)Jacey Ane Loberg Md

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

Jacey Ane Lepage 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 ID1254622541
PECOS Enrollment IDI20211102000426
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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
118 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
81 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Kosciusko Community Hospital

Acute Care Hospitals · Warsaw, IN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number150133
Location2101 E Dubois DrWarsaw, IN 46580 · Kosciusko County
Emergency services Birthing friendly

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.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.04
Promoting Interoperability100
Improvement Activities40

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.

Social Worker (Clinical)
22101 MOROSS RD
DETROIT, MI 48236
Pathology (Anatomic Pathology & Clinical Pathology)
22101 MOROSS RD
DETROIT, MI 48236
Nurse Practitioner (Acute Care)
22101 MOROSS RD
DETROIT, MI 48236
Anesthesiology
22101 MOROSS RD
DETROIT, MI 48236
Physical Therapist
22101 MOROSS RD
DETROIT, MI 48236
Pathology (Anatomic Pathology & Clinical Pathology)
22101 MOROSS RD
DETROIT, MI 48236
Clinic/Center
22101 MOROSS RD
DETROIT, MI 48236
Internal Medicine
22101 MOROSS RD, PB2 SUITE 50
DETROIT, MI 48236

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 Jacey Lepage's NPI number?

The NPI number for Jacey Lepage is 1790166494. It was assigned to this individual provider in the NPPES registry on June 18, 2015. The provider is also known as Jacey Ane Loberg MD.

Where is Jacey Lepage located?

Jacey Lepage practices at 22101 Moross Rd, Detroit, MI 48236. The listed phone number is (313) 343-4000.

What is Jacey Lepage's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Jacey Lepage enrolled in Medicare?

Yes. Jacey Lepage 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.

Is Jacey Lepage affiliated with any hospitals?

According to CMS data, Jacey Lepage is affiliated with Lutheran Hospital Of Indiana and Kosciusko Community Hospital.

When was this NPI record last updated?

The NPPES record for Jacey Lepage was last updated on October 12, 2021. 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.