LACEY MARIE MARTIN (PA-C) – Physician Assistant, NPI 1639887011
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
Provider Addresses for LACEY MARIE MARTIN (PA-C)
206 Sugar Mill Dr
Savannah, GA 314199437
Phone: (706) 614-6168
Type: Location
1441 WILKINS CIR
CASPER, WY 826011337
Phone: (307) 233-2700
Fax: (307) 472-2883
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 100 Open Payments records for all available years, with a total value of $1,999.
Total Amount is formed as General ($1,999) + Research ($0) + Ownership ($0) = $1,999.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($736).
Total Amount
$1,999
General + Research + Ownership
Payments
100
Total payment records
General Amount
$1,999
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $736 |
| ABBVIE INC. | $578 |
| Janssen Biotech, Inc. | $214 |
| GENZYME CORPORATION | $139 |
| Phathom Pharmaceuticals, Inc. | $64 |
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: 2023-05-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230503003509 | I | Physician Assistant | WY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 178 | 165 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 42 | 40 | $0 |
Insurance plans in this area (ZIP 31419)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WY | |
| Physician Assistant | CO | |
| - | WY | |
| Nurse Practitioner | WY | |
| P A T H O L O G Y | AZ | |
| - | WY | |
| Nurse Practitioner | WY | |
| G A S T R O E N T E R O L O G Y | WY | |
| Gastroenterology, Internal Medicine | WY | |
| Certified Registered Nurse Anesthetist (Crna) | WY |
Reviews
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