DR. WESLEY GRAYSON LACKEY (M.D.) – Orthopaedic Surgery Physician, NPI 1033314984
Orthopaedic Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
668 ORTHOPEDIC SURGERY in IN
Provider Addresses for DR. WESLEY GRAYSON LACKEY (M.D.)
3600 W BETHEL AVE
MUNCIE, IN 473045407
Phone:
Type: Mailing
541 S Landmark Ave
Bloomington, IN 474033239
Phone: (317) 455-1064
Type: Location
3051 S US Highway 41
Terre Haute, IN 478023791
Phone: (317) 455-1064
Type: Location
6920, Gatwick Drive, Valley Mills, Indianapolis, Indiana, 46241, United States
SUITE 200
INDIANAPOLIS, IN 462419504
Phone: (317) 455-1064
Fax: (317) 455-1204
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $30,158.
Total Amount is formed as General ($30,158) + Research ($0) + Ownership ($0) = $30,158.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ENCORE MEDICAL, LP ($18,600).
Total Amount
$30,158
General + Research + Ownership
Payments
23
Total payment records
General Amount
$30,158
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ENCORE MEDICAL, LP | $18,600 |
| Smith+Nephew, Inc. | $6,652 |
| Total Joint Orthopedics, Inc. | $4,847 |
| Stryker Corporation | $58 |
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: 2013-03-14
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 |
|---|---|---|---|---|
| I20130314000447 | I | Orthopedic Surgery | IN | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 328 | 289 | $0 |
| 73562 | X-ray of knee, 3 views | 326 | 234 | $0 |
| 73564 | X-ray of knee, 4 or more views | 197 | 158 | $0 |
| 73502 | X-ray of hip, 2-3 views | 193 | 167 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 157 | 129 | $0 |
Insurance plans in this area (ZIP 47304)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IN | |
| Orthopedic Surgery | IN | |
| Interventional Pain Management | IN | |
| Family Practice, Hospitalist | IN | |
| Orthopedic Surgery | IN | |
| Family Practice | IN | |
| P O D I A T R Y | IN | |
| Orthopedic Surgery | IN | |
| Pain Management | IN | |
| Physician Assistant | IN |
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