1. Home
  2. Directory
  3. Florida
  4. Pensacola
  5. Physician Assistant
  6. NPI Profile

KEVIN ROBERT LACZ PA-C
NPI 1891166344
Physician Assistant in Pensacola, FL

Active since October 09, 2015Opted out of Medicare · through Oct 25, 2026
423 N BAYLEN STREET, PENSACOLA, FL 32501(850) 816-9939(850) 807-5059 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2024, Apr 26, 2024, Jan 26, 2023 (3 updates tracked since 2023).

About Kevin Robert Lacz Pa-c NPPES

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

KEVIN ROBERT LACZ PA-C (NPI 1891166344) is an individual physician assistant in Pensacola, Florida, licensed in Florida (PA9108469) and active in the NPI registry since October 2015. He has opted out of Medicare through October 25, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1891166344
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKEVIN ROBERT LACZCredential: PA-C
Location Address423 N BAYLEN STREETPensacola, FL 32501-3901
Mailing Address423 N Baylen StreetPensacola, FL 32501-3901 · (850) 816-9939 · Fax (850) 807-5059
Phone(850) 816-9939
Fax(850) 807-5059
Sole ProprietorYes
Enumeration DateOctober 9, 2015
Last NPPES UpdateAugust 21, 20243 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
✔ NPI 1891166344 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 FL · PA9108469
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.
423 N BAYLEN STREET, Pensacola, FL 32501
Open in Google Maps ↗

Other Identifiers 1

OtherPA9108469FL · Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kevin Robert Lacz Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 25, 2024 through October 25, 2026.

Opt-Out Effective DateOctober 25, 2024
Opt-Out In Effect ThroughOctober 25, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32501 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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

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

DR. DAVID E LEMAY M.D.
Physical Medicine & Rehabilitation
423 N BAYLEN STREET
PENSACOLA, FL 32501
Escambia County (850) 471-8399

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 Kevin Lacz's NPI number?

The NPI number for Kevin Lacz is 1891166344. It was assigned to this individual provider in the NPPES registry on October 9, 2015.

Where is Kevin Lacz located?

Kevin Lacz practices at 423 N Baylen Street, Pensacola, FL 32501. The listed phone number is (850) 816-9939.

What is Kevin Lacz's specialty?

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

Is Kevin Lacz enrolled in Medicare?

No. Kevin Lacz has opted out of Medicare through October 25, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kevin Lacz was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.