ADAM LACAYO MD
NPI 1942874920
Family Medicine in Champlain, NY

Active since May 14, 2021PECOS EnrolledAccepts Medicare Assignment
828 STATE ROUTE 11, CHAMPLAIN, NY 12919(518) 298-2691(518) 298-8241 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2026, May 27, 2025, Dec 23, 2024 and 2 more (5 updates tracked since 2021).

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

NPI1942874920
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameADAM LACAYOCredential: MD
Location Address828 STATE ROUTE 11Champlain, NY 12919-4966
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300
Fax(518) 298-8241
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2021
Enumeration DateMay 14, 2021
Last NPPES UpdateMarch 13, 20265 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
NPI 1942874920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 326926
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
828 STATE ROUTE 11, Champlain, NY 12919

Other Identifiers 1

Medicaid08023223NY

Accepted 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

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.

PECOS PAC ID7113468513
PECOS Enrollment IDI20240925003941, I20241009002133
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 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, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

Northwestern Medical Center Inc

Acute Care Hospitals · Saint Albans, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470024
Location133 Fairfield StreetSaint Albans, VT 05478 · Franklin County
Emergency services Birthing friendly

Physician 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.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 16

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

Family Medicine
828 STATE ROUTE 11
CHAMPLAIN, NY 12919
Family Medicine
828 STATE ROUTE 11
CHAMPLAIN, NY 12919
Physician Assistant
828 STATE ROUTE 11
CHAMPLAIN, NY 12919
Physician Assistant
828 STATE ROUTE 11
CHAMPLAIN, NY 12919
Family Medicine
828 STATE ROUTE 11
CHAMPLAIN, NY 12919
Clinic/Center (Primary Care)
828 STATE ROUTE 11
CHAMPLAIN, NY 12919
Social Worker (Clinical)
828 STATE ROUTE 11
CHAMPLAIN, NY 12919
Physician Assistant
828 STATE ROUTE 11
CHAMPLAIN, NY 12919

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.

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 March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.