ADAM LACAYO MD
NPI 1942874920
Family Medicine in Champlain, NY
About Adam Lacayo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADAM LACAYO MD (NPI 1942874920) is an individual family medicine provider in Champlain, New York, licensed in New York (326926) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and is a graduate of University Of Vermont College Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Adam Lacayo 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.
Medicare Billing Reassignments
2Medicare enrollment records show Adam Lacayo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Champlain, NY 12919
- Reassigned Medicare billing, New York enrollment
- 197 clinicians in this Medicare group
Saint Albans, VT 05478
- Reassigned Medicare billing, Vermont enrollment
- 184 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Champlain Valley Physicians Hospital Medical Ctr
Acute Care Hospitals · Plattsburgh, NYNorthwestern Medical Center Inc
Acute Care Hospitals · Saint Albans, VTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12919 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Adam Lacayo's NPI number?
The NPI number for Adam Lacayo is 1942874920. It was assigned to this individual provider in the NPPES registry on May 14, 2021.
Where is Adam Lacayo located?
Adam Lacayo practices at 828 State Route 11, Champlain, NY 12919. The listed phone number is (518) 298-2691.
What is Adam Lacayo's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Adam Lacayo enrolled in Medicare?
Yes. Adam Lacayo 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.
Which organizations bill Medicare for Adam Lacayo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adam Lacayo reassigns Medicare benefits to 2 organizations: Hudson Headwaters Health Network (Champlain, NY) and Northwestern Medical Center Inc (Saint Albans, VT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adam Lacayo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Adam Lacayo accept?
Health plans from Anthem Blue Cross and Blue Shield list Adam Lacayo 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 Adam Lacayo affiliated with any hospitals?
According to CMS data, Adam Lacayo is affiliated with Champlain Valley Physicians Hospital Medical Ctr and Northwestern Medical Center Inc.
When was this NPI record last updated?
The NPPES record for Adam Lacayo was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.
# Adam Lacayo, MD · NPI 1942874920
Family Medicine physician in Champlain, New York. Individual provider, active in the CMS NPPES registry since May 14, 2021.
## Identity
- **NPI:** 1942874920 (Entity type: Individual)
- **Enumerated:** May 14, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 326926 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 828 STATE ROUTE 11, Champlain, NY 12919-4966
- **Phone:** (518) 298-2691 · **Fax:** (518) 298-8241
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hudson Headwaters Health Network (NPI 1245285170, Champlain, NY); Northwestern Medical Center Inc (NPI 1538442199, Saint Albans, VT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Vermont College Of Medicine, class of 2021
## Record status
- **NPPES last updated:** October 8, 2026
- **Other identifiers:** Medicaid 08023223 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1942874920) · Data from the CMS NPPES public registry.