DR. LACEY PELTIER BROWN (DO) – Anesthesiology Physician, NPI 1104075399

DR. LACEY PELTIER BROWN (DO) is a healthcare provider. based in Bloomington, Indiana. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. 02003508A (IN). The NPI Number for DR. LACEY PELTIER BROWN (DO) is 1104075399

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. LACEY PELTIER BROWN (DO)
NPI
1104075399
Phone
(317) 312-0844
Address
1625 S WILCOX ST
Enumeration Date
12 September 2008
Last Update Date
28 March 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8123539147
Graduation Year
2006 (20 years ago)
PAC ID
7012040280
Group Practice PAC ID
6204740988
Professional Enrollment ID
I20100809000908
Address ID
IN474089059BL2651XPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,446 ANESTHESIOLOGY in IN

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Provider Addresses for DR. LACEY PELTIER BROWN (DO)

  • South Wilcox Street, Ridgemede, Bloomington, Monroe County, Indiana, 4741, United States

    APT 1

    BLOOMINGTON, IN 474012914

    Phone: (317) 312-0844

    Type: Mailing

  • IU Health Bloomington Hospital, 601, West 2nd Street, Bloomington, Monroe County, Indiana, 47402, United States

    BLOOMINGTON, IN 474032317

    Phone: (317) 312-0844

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-08-09

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
I20100809000908IAnesthesiologyINTBD

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
00142Anesthesia for lens surgery327295$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1919$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1818$0
01402Anesthesia for procedure for total knee joint replacement1313$0
View full utilization report →

Insurance plans in this area (ZIP 47401)

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Provider's Procedures

DR. LACEY PELTIER BROWN (DO) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYIN00142Anesthesia for lens surgery7364
ANESTHESIOLOGYIN01402Anesthesia for open or endoscopic total knee joint replacement1313

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: 6204740988View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YOH
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YAL
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YKY
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YMO
A N E S T H E S I O L O G YGA
A N E S T H E S I O L O G YIN

Reviews

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Frequently asked questions

How is DR. LACEY PELTIER BROWN (DO) identified in CMS data?
CMS-hosted NPPES data lists DR. LACEY PELTIER BROWN (DO) with NPI 1104075399.
Can I rely on DR. LACEY PELTIER BROWN (DO) being an active provider?
As of the registry snapshot, DR. LACEY PELTIER BROWN (DO) is marked active.
What healthcare role does DR. LACEY PELTIER BROWN (DO) hold?
Scheduling teams often label DR. LACEY PELTIER BROWN (DO) under Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. LACEY PELTIER BROWN (DO) based?
DR. LACEY PELTIER BROWN (DO) is tied to Bloomington, Indiana in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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