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COURTNEY N LACZKO PA-C
NPI 1790210532
Physician Assistant in Beavercreek, OH

Active since May 01, 2017PECOS EnrolledAccepts Medicare Assignment
3535 PENTAGON BLVD, BEAVERCREEK, OH 45431(937) 702-4503(937) 702-4129 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 25, 2024, Dec 21, 2021, Oct 24, 2019 and 1 more (4 updates tracked since 2017).

About Courtney N Laczko Pa-c NPPES

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

COURTNEY N LACZKO PA-C (NPI 1790210532) is an individual physician assistant in Beavercreek, Ohio, licensed in Pennsylvania (MA059099) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with West Penn Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1790210532
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCOURTNEY N LACZKOCredential: PA-C
Location Address3535 PENTAGON BLVDBeavercreek, OH 45431-1705
Mailing Address3588 Sequoia DrBeavercreek, OH 45431-3779 · (518) 956-0372
Phone(937) 702-4503
Fax(937) 702-4129
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 1, 2017
Last NPPES UpdateJuly 25, 20244 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
✔ NPI 1790210532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA059099
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3535 PENTAGON BLVD, Beavercreek, OH 45431
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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

Courtney N Laczko Pa-c 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 ID1951671775
PECOS Enrollment IDI20170726002693
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.

Hospital Affiliations CMS Care Compare

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

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390090
Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45431 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

ASHLEY GEORGE
Nurse Anesthetist, Certified Registered
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Greene County (937) 702-4000
EMILY GRACE TROMPAK (O'NEAL) PA-C
Physician Assistant (Medical)
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Greene County (937) 702-4450
DR. ADELAIDE OMANE CRNA
Nurse Anesthetist, Certified Registered
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Greene County (937) 702-4000
GREENE MEMORIAL HOSPITAL SERVICES, INC
Obstetrics & Gynecology
3535 PENTAGON BLVD, SUITE 220
BEAVERCREEK, OH 45431
Greene County (937) 429-7350
MARIAN GAIDA PHAM NP
Nurse Practitioner (Gerontology)
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Greene County (937) 395-6665
DR. DANIEL B LUCKENBILL MD
Orthopaedic Surgery (Sports Medicine)
3535 PENTAGON BLVD, STE 320
BEAVERCREEK, OH 45431
Greene County (937) 433-5309
MRS. RAEANNE HUNTER FONDRIEST AG-ACNP
Nurse Practitioner (Acute Care)
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Greene County (937) 702-4024
LINDSEY NICOLE ELLIOTT APRN
Nurse Practitioner (Acute Care)
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Greene County (937) 702-4000

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 Courtney Laczko's NPI number?

The NPI number for Courtney Laczko is 1790210532. It was assigned to this individual provider in the NPPES registry on May 1, 2017.

Where is Courtney Laczko located?

Courtney Laczko practices at 3535 Pentagon Blvd, Beavercreek, OH 45431. The listed phone number is (937) 702-4503.

What is Courtney Laczko's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Courtney Laczko enrolled in Medicare?

Yes. Courtney Laczko 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 Courtney Laczko accept?

Health plans from CareSource and Molina Healthcare list Courtney Laczko 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 Courtney Laczko affiliated with any hospitals?

According to CMS data, Courtney Laczko is affiliated with West Penn Hospital.

When was this NPI record last updated?

The NPPES record for Courtney Laczko was last updated on July 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.