LACEY MICHELLE HARVEY (PA-C) – Physician Assistant, NPI 1295207488
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
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Provider Addresses for LACEY MICHELLE HARVEY (PA-C)
1721, Magnavox Way, Times Corner, Fort Wayne, Allen County, Indiana, 46804, United States
FORT WAYNE, IN 468041537
Phone: (260) 748-3650
Fax: (260) 748-3651
Type: Location
PO BOX 670
HUNTERTOWN, IN 467480670
Phone: (260) 748-3650
Fax: (260) 748-3651
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 67 Open Payments records for all available years, with a total value of $1,196.
Total Amount is formed as General ($1,196) + Research ($0) + Ownership ($0) = $1,196.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: ABBVIE INC. ($350).
Total Amount
$1,196
General + Research + Ownership
Payments
67
Total payment records
General Amount
$1,196
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $350 |
| Boston Scientific Corporation | $206 |
| PFIZER INC. | $181 |
| Curonix LLC | $147 |
| Spinal Simplicity, LLC | $101 |
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: 2019-01-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190109002150 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 283 | 171 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 203 | 140 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 150 | 97 | $0 |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 140 | 94 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 87 | 61 | $0 |
Insurance plans in this area (ZIP 46804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | IN | |
| Nurse Practitioner | IN | |
| Diagnostic Radiology | IN | |
| Nurse Practitioner | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IN |
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