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J. AGUSTIN LACSON M.D.
NPI 1831153055
Internal Medicine - Infectious Disease in Avon Park, FL

Active since April 14, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 10D2235387 · Waiver
98.62/100
CMS Quality Rating
3300 US 27 S, AVON PARK, FL 33825(863) 385-6700 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2022, Aug 28, 2021 (2 updates tracked since 2021).

About J. Agustin Lacson M.d. NPPES

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

J. AGUSTIN LACSON M.D. (NPI 1831153055) is an individual infectious disease provider in Avon Park, Florida, licensed in Florida (ME0072358) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through September 8, 2027, and is affiliated with Winter Haven Hospital.

NPPES Registry Identity

NPI1831153055
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameJ. AGUSTIN LACSONCredential: M.D.
Location Address3300 US 27 SAvon Park, FL 33825-9701
Mailing AddressPo Box 7514Sebring, FL 33872-0109 · (863) 385-6700
Phone(863) 385-6700
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateApril 14, 2006
Last NPPES UpdateSeptember 8, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2022
✔ NPI 1831153055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in FL · ME0072358
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
3300 US 27 S, Avon Park, FL 33825
Open in Google Maps ↗

Secondary Practice Location 1

Location 11709 E Oak StArcadia, FL 34266-8925 · Phone (863) 494-2407

Other Identifiers 3

Other44661FL · Blue Cross Blue Shield
Medicaid024129700FL
Other110241195FL · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and more.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

J. Agustin Lacson 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 ID9739070855
PECOS Enrollment IDI20040320000036
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2235387

J Agustin Lacson, MD, Inc · Arcadia, FL
Active · expires Sep 8, 2027
CLIA Number10D2235387
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorAgustin J. Lacson
Laboratory Phone(863) 494-2407
Laboratory LocationJ Agustin Lacson, MD, Inc1709 E Oak Street, Arcadia, FL 34266
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
178 services88 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
133 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
101 services46 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
75 services75 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
61 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100052
Location200 Ave F NEWinter Haven, FL 33881 · Polk County
Emergency services Birthing friendly

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100109
Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33825 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

98.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality83.29
Improvement Activities40

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%54 patients
Controlling High Blood Pressure
49%184 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
91%2,132 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%275 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
75%658 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
50%1,292 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 485 patients
Patients screened: 99% · 485 patients
100%105 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 293 patients
Patients totalRate: 3% · 293 patients
1%293 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ANDREA DENISE MCHAN NP
Nurse Practitioner (Family)
3300 US 27 S
AVON PARK, FL 33825
Highlands County (863) 385-6700
21ST CENTURY ONCOLOGY LLC
Surgery
3300 US 27 S
AVON PARK, FL 33825
Highlands County (863) 382-6108
J. AGUSTIN LACSON M.D. INC
Internal Medicine (Infectious Disease)
3300 US 27 S
AVON PARK, FL 33825
Highlands County (863) 385-6700
L FRANCISCO ESPAILLAT M.D.
Surgery
3300 US 27 S
AVON PARK, FL 33825
Highlands County (863) 382-6108

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 J. Agustin Lacson's NPI number?

The NPI number for J. Agustin Lacson is 1831153055. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is J. Agustin Lacson located?

J. Agustin Lacson practices at 3300 Us 27 S, Avon Park, FL 33825. The listed phone number is (863) 385-6700.

What is J. Agustin Lacson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is J. Agustin Lacson enrolled in Medicare?

Yes. J. Agustin Lacson 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.

Does J. Agustin Lacson hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2235387) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does J. Agustin Lacson accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and UnitedHealthcare list J. Agustin Lacson 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 J. Agustin Lacson affiliated with any hospitals?

According to CMS data, J. Agustin Lacson is affiliated with Winter Haven Hospital and Adventhealth Sebring.

When was this NPI record last updated?

The NPPES record for J. Agustin Lacson was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.