MARTIN S LACEY MD
NPI 1821064288
Surgery - Plastic and Reconstructive Surgery in Saint Paul, MN

Q: What is Martin Lacey's NPI number?

The NPI number for Martin Lacey is 1821064288. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Q: What is Martin Lacey's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for Martin Lacey was last updated on October 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since February 27, 2006PECOS Enrolled

640 JACKSON ST, MC 11503B, SAINT PAUL, MN 55101(651) 254-3792(651) 254-8208 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Martin S Lacey Md NPPES

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

MARTIN S LACEY MD (NPI 1821064288) is an individual plastic and reconstructive surgery provider in Saint Paul, Minnesota, licensed in Minnesota (44353) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821064288

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameMARTIN S LACEYCredential: MD

Location Address640 JACKSON ST, MC 11503BSaint Paul, MN 55101-2502

Mailing Address8100 34th Ave S, Mail Stop 21110qBloomington, MN 55425-1672 · (952) 883-5463 · Fax (952) 883-5395

Phone(651) 254-3792

Fax(651) 254-8208

Sole ProprietorNo

Enumeration DateFebruary 27, 2006

Last NPPES UpdateOctober 23, 2012

✔ NPI 1821064288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

Licenses✔ Licensed in MN · 44353✔ Licensed in WI · 45762

Definition

A surgeon who specializes in plastic and reconstructive surgery.

640 JACKSON ST, Saint Paul, MN 55101

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Other Identifiers 3

Medicare ID-Type Unspecified240000255

Medicare UPINH61611

Medicaid322800200MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Martin S Lacey 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.

Medicare Billing Reassignment

Medicare enrollment records show Martin Lacey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gillette Children's Specialty Healthcare

0.2 mi

Multi-Specialty

200 EAST UNIVERSITY AVE
St. Paul, MN 55101

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: Gillette Childrens Specialty Healthcare
304 clinicians in this Medicare group

NPI 1225119175 (651) 291-2848

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

WOJCIECH KRASZKIEWICZ M.D.

Internal Medicine