DARRYL O LACY PA
NPI 1932381357
Physician Assistant in Rocky Ford, CO

Active since November 27, 2007PECOS EnrolledAccepts Medicare Assignment
903 S 12TH ST, ROCKY FORD, CO 81067(719) 254-7623(719) 254-5112 Get Directions Write a Review

NPPES record last updated: November 27, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Darryl O Lacy Pa NPPES

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

DARRYL O LACY PA (NPI 1932381357) is an individual physician assistant in Rocky Ford, Colorado, licensed in Colorado (2537) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1932381357
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDARRYL O LACYCredential: PA
Location Address903 S 12TH STRocky Ford, CO 81067-2127
Mailing Address128 Market StAlamosa, CO 81101-2290 · (719) 589-5161 · Fax (719) 589-5722
Fax(719) 254-5112
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 27, 2007
NPI 1932381357 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 CO · 2537
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.
903 S 12TH ST, Rocky Ford, CO 81067

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

Darryl O Lacy Pa 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 ID4789774399
PECOS Enrollment IDI20071219000852
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 81067 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers35 claims71 services$5.65 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims13 services$0.99 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers25 claims25 services$39.09 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers25 claims25 services$98.71 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers26 claims74 services$40.23 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers17 claims17 services$20.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Dentist
903 S 12TH ST
ROCKY FORD, CO 81067
Clinic/Center (Federally Qualified Health Center (FQHC))
903 S 12TH ST
ROCKY FORD, CO 81067
Family Medicine
903 S 12TH ST
ROCKY FORD, CO 81067
Dental Hygienist
903 S 12TH ST
ROCKY FORD, CO 81067
Dentist
903 S 12TH ST
ROCKY FORD, CO 81067

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 Darryl Lacy's NPI number?

The NPI number for Darryl Lacy is 1932381357. It was assigned to this individual provider in the NPPES registry on November 27, 2007.

Where is Darryl Lacy located?

Darryl Lacy practices at 903 S 12th St, Rocky Ford, CO 81067. The listed phone number is (719) 254-7623.

What is Darryl Lacy's specialty?

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

Is Darryl Lacy enrolled in Medicare?

Yes. Darryl 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.

When was this NPI record last updated?

The NPPES record for Darryl Lacy was last updated on November 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.