DR. MICHAEL JUDE LACQUA MD
NPI 1992753883
Plastic Surgery in Staten Island, NY

Q: What is Michael Lacqua's NPI number?

The NPI number for Michael Lacqua is 1992753883. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Q: What is Michael Lacqua's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Lacqua was last updated on March 31, 2008. 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.

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment

2372 VICTORY BLVD, STATEN ISLAND, NY 10314(718) 761-3700 Get Directions Write a Review

NPPES record last updated: March 31, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Michael Jude Lacqua Md NPPES

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

DR. MICHAEL JUDE LACQUA MD (NPI 1992753883) is an individual plastic surgery provider in Staten Island, New York, licensed in New York (192446) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Richmond University Medical Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1992753883

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. MICHAEL JUDE LACQUACredential: MD

Location Address2372 VICTORY BLVDStaten Island, NY 10314-6607

Mailing Address2372 Victory BlvdStaten Island, NY 10314-6607 · (718) 761-3700

Phone(718) 761-3700

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateMay 4, 2006

Last NPPES UpdateMarch 31, 2008

✔ NPI 1992753883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in NY · 192446

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

2372 VICTORY BLVD, Staten Island, NY 10314

Open in Google Maps ↗

Other Identifiers 3

Medicare PIN28L232NY

Medicare UPINF93944NY

Medicaid01710118NY

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. Michael Jude Lacqua 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 ID1759560543

PECOS Enrollment IDI20260320002631

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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

59 services43 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

37 services24 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

32 services21 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

30 services19 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

29 services29 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

19 services19 patients

Hospital Affiliations CMS Care Compare

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

Richmond University Medical Center

Acute Care Hospitals · Staten Island, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330028

Location355 Bard AvenueStaten Island, NY 10310 · Richmond County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10314 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

Leave this field empty

Other Providers at the Same Location NPPES 6

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

VICTORY MEDICAL PLLC

Plastic Surgery