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DR. TYLER CARLETON LACY MD
NPI 1861955049
Radiology - Diagnostic Radiology in Murray, UT

Active since April 13, 2019PECOS EnrolledAccepts Medicare Assignment
5295 S COMMERCE DR STE 550, MURRAY, UT 84107(801) 313-4110 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2025, Aug 7, 2025, Apr 13, 2019 (3 updates tracked since 2019).

About Dr. Tyler Carleton Lacy Md NPPES

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

DR. TYLER CARLETON LACY MD (NPI 1861955049) is an individual diagnostic radiology provider in Murray, Utah, licensed in Utah (14222027-1205) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of Duke University School Of Medicine (2019).

NPPES Registry Identity

NPI1861955049
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. TYLER CARLETON LACYCredential: MD
Location Address5295 S COMMERCE DR STE 550Murray, UT 84107-4736
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 313-4110
Sole ProprietorYes
Medical School CMSDuke University School Of MedicineGraduated 2019
Enumeration DateApril 13, 2019
Last NPPES UpdateNovember 12, 20253 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1861955049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in UT · 14222027-1205
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
5295 S COMMERCE DR STE 550, Murray, UT 84107
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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

Dr. Tyler Carleton Lacy Md 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 ID941718233
PECOS Enrollment IDI20250806003734
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 5

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

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460004
Location4401 Harrison BoulevardOgden, UT 84403 · Weber County
Emergency services Birthing friendly

Cedar City Hospital

Acute Care Hospitals · Cedar City, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460007
Location1303 North Main StreetCedar City, UT 84721 · Iron County
Emergency services Birthing friendly

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460044
Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County
Emergency services Birthing friendly

Riverton Hospital

Acute Care Hospitals · Riverton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460058
Location3741 West 12600 SouthRiverton, UT 84065 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 13

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

DR. RICHARD LEWIS LEAKE M.D.
Radiology (Diagnostic Radiology)
5295 S COMMERCE DR STE 550
MURRAY, UT 84107
Salt Lake County (801) 313-4110
JEFFERY MCCLEVE PA-C
Physician Assistant
5295 S COMMERCE DR STE 550
MURRAY, UT 84107
Salt Lake County (801) 313-4110
DR. ROHIT B RAM MD
Radiology (Vascular & Interventional Radiology)
5295 S COMMERCE DR STE 550
MURRAY, UT 84107
Salt Lake County (801) 313-4110
EMILY BAHR PA-C
Physician Assistant
5295 S COMMERCE DR STE 550
SALT LAKE CITY, UT 84107
Salt Lake County (801) 313-4110
JOSEPH WESLEY ALBRIGHT MD
Radiology (Diagnostic Radiology)
5295 S COMMERCE DR STE 550
MURRAY, UT 84107
Salt Lake County (801) 313-4110
JUSTIN GARDNER PA-C
Physician Assistant
5295 S COMMERCE DR STE 550
MURRAY, UT 84107
Salt Lake County (801) 313-4110
HOLLI ANN BARBERA
Nurse Practitioner
5295 S COMMERCE DR STE 550
MURRAY, UT 84107
Salt Lake County (801) 313-4110
DAVID CHARLES GAGE MD
Radiology (Diagnostic Radiology)
5295 S COMMERCE DR STE 550
MURRAY, UT 84107
Salt Lake County (801) 313-4110

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 Tyler Lacy's NPI number?

The NPI number for Tyler Lacy is 1861955049. It was assigned to this individual provider in the NPPES registry on April 13, 2019.

Where is Tyler Lacy located?

Tyler Lacy practices at 5295 S Commerce Dr Ste 550, Murray, UT 84107. The listed phone number is (801) 313-4110.

What is Tyler Lacy's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Tyler Lacy enrolled in Medicare?

Yes. Tyler Lacy 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 Tyler Lacy affiliated with any hospitals?

According to CMS data, Tyler Lacy is affiliated with Mckay-Dee Hospital, Cedar City Hospital, Intermountain Medical Center, Intermountain Health Alta View Hospital and Riverton Hospital.

When was this NPI record last updated?

The NPPES record for Tyler Lacy was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.