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SARAH LACY MD
NPI 1811023617
Pediatrics in Plymouth, MI

Active since February 26, 2007PECOS Enrolled
990 W ANN ARBOR TRL STE 210, PLYMOUTH, MI 48170(734) 554-6004(734) 455-5637 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sarah Lacy Md NPPES

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

SARAH LACY MD (NPI 1811023617) is an individual pediatrics provider in Plymouth, Michigan, licensed in Michigan (4301081675) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811023617
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSARAH LACYCredential: MD
Location Address990 W ANN ARBOR TRL STE 210Plymouth, MI 48170-6202
Mailing Address24 Frank Lloyd Wright Dr, Po Box 0446 Lobby JAnn Arbor, MI 48105-9484 · (734) 327-0872
Phone(734) 554-6004
Fax(734) 455-5637
Sole ProprietorNo
Enumeration DateFebruary 26, 2007
Last NPPES UpdateJuly 16, 2019
✔ NPI 1811023617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301081675
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
990 W ANN ARBOR TRL STE 210, Plymouth, MI 48170
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarah Lacy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48170 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
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 4

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

DAVID TOBIN
Pediatrics
990 W ANN ARBOR TRL STE 210
PLYMOUTH, MI 48170
Wayne County (734) 455-4600
JENNA ELAINE MILLSTEAD MD
Pediatrics
990 W ANN ARBOR TRL STE 210
PLYMOUTH, MI 48170
Wayne County (734) 455-4600
AMY L LILLY
Nurse Practitioner (Pediatrics)
990 W ANN ARBOR TRL STE 210
PLYMOUTH, MI 48170
Wayne County (734) 455-4600
KIMBERLY ANN DUNLEAVY NP
Nurse Practitioner (Pediatrics)
990 W ANN ARBOR TRL STE 210
PLYMOUTH, MI 48170
Wayne County (734) 455-4600

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 Sarah Lacy's NPI number?

The NPI number for Sarah Lacy is 1811023617. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Sarah Lacy located?

Sarah Lacy practices at 990 W Ann Arbor Trl Ste 210, Plymouth, MI 48170. The listed phone number is (734) 554-6004.

What is Sarah Lacy's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sarah Lacy enrolled in Medicare?

Yes. Sarah Lacy is registered in the Medicare PECOS enrollment system.

What insurance does Sarah Lacy accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Sarah Lacy 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 Sarah Lacy was last updated on July 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.