MISS LACEY MARIE CARLS (PA-C) – Physician Assistant, NPI 1114252087
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for MISS LACEY MARIE CARLS (PA-C)
725 SCHOOL ST STE A
MORRIS, IL 604501207
Phone: (815) 705-1405
Type: Mailing
150 W High St
Morris, IL 604501497
Phone: (815) 942-2932
Type: Location
Saint Margaret's Hospital, 600, East 1st Street, 4th Ward, Spring Valley, Bureau County, Illinois, 60420, United States
SPRING VALLEY, IL 613621512
Phone: (515) 663-8009
Type: Mailing
1306 GEMINI CIR STE 2
OTTAWA, IL 61350
Phone: (815) 433-0850
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $145.
Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.
Last reported payment date: 2023-06-05 • Largest payer in this snapshot: Stryker Corporation ($125).
Total Amount
$145
General + Research + Ownership
Payments
5
Total payment records
General Amount
$145
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $125 |
| Heron Therapeutics, Inc. | $20 |
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: 2009-11-11
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 |
|---|---|---|---|---|
| I20091111000765 | I | Physician Assistant | IL | 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 |
|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 56 | 56 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 45 | 11 | $0 |
| 77073 | X-ray for bone length assessment | 37 | 37 | $0 |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 27 | 27 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 11 | 11 | $0 |
Insurance plans in this area (ZIP 60450)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | IL | 27447 | Repair of knee joint | 54 | 54 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Internal Medicine, Pediatric Medicine | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Orthopedic Surgery | NY | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Allergy/Immunology, Internal Medicine | IL |
Reviews
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