JOHN LACSON – Family Medicine Physician, NPI 1104313634

JOHN LACSON is a healthcare provider. based in Phoenix, Arizona. specializing in FAMILY PRACTICE. They hold a License No. OT18912 (PA). The NPI Number for JOHN LACSON is 1104313634

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JOHN LACSON
NPI
1104313634
Phone
(602) 406-4786
Address
PO BOX 33269
Enumeration Date
19 April 2018
Last Update Date
30 October 2024

Doctor Profile

Medical School Name
LAKE ERIE COL OF OSTEO MED AT SETON HILL UNIV
Secondary Phone
7064452349
Graduation Year
2018 (8 years ago)
PAC ID
5294088837
Group Practice PAC ID
3274939061
Professional Enrollment ID
I20250401000264
Address ID
GA309092519AU3435XRDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

2,260 FAMILY PRACTICE in AZ

Provider Addresses for JOHN LACSON

  • PO BOX 33269

    PHOENIX, AZ 850673269

    Phone: (602) 406-4786

    Fax: (916) 636-4358

    Type: Mailing

  • 2927 N 7TH AVE

    PHOENIX, AZ 850134102

    Phone: (602) 406-3153

    Fax: (602) 406-7176

    Type: Location

  • 2319, West Megan Street, Chandler, Maricopa County, Arizona, 85224, United States

    CHANDLER, AZ 852243484

    Phone: (480) 329-2619

    Type: Mailing

  • Du Bois, Pawnee County, Nebraska, United States

    DU BOIS, PA 158011440

    Phone: (814) 371-2200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $75.

Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Novo Nordisk Inc ($51).

Total Amount

$75

General + Research + Ownership

Payments

4

Total payment records

General Amount

$75

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250401000264IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes11772$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3737$0
83036Hemoglobin a1c level3324$0
G0009Administration of pneumococcal vaccine2323$0
99204New patient office or other outpatient visit, 45-59 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 85067)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274939061View full group profile
NameSpecialtyState
Internal MedicineGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerCA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Family PracticeAL

Reviews

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Frequently asked questions

How do I look up JOHN LACSON by NPI?
Use NPI 1104313634 when you need to reference JOHN LACSON in forms, claims, or directories.
Is JOHN LACSON's NPI currently valid?
The extract we use shows JOHN LACSON as active.
Can you summarize JOHN LACSON's specialty in plain language?
Clinically, the directory lists JOHN LACSON with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does JOHN LACSON practice in Arizona?
You will see Phoenix, Arizona on file for JOHN LACSON alongside any extra practice locations.
Is JOHN LACSON a real provider?
This page reflects official NPPES data for NPI 1104313634. Always confirm identity and privileges with the practice and licensing boards.

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