STACEY W LOCKARD (M.D.) – Family Medicine Physician, NPI 1457748998
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,862 FAMILY PRACTICE in IN
Provider Addresses for STACEY W LOCKARD (M.D.)
747 E COUNTY LINE RD STE D
GREENWOOD, IN 461431082
Phone: (317) 888-9669
Type: Mailing
747 E County Line Rd Ste D
Greenwood, IN 461431082
Phone: (317) 888-9669
Type: Location
PO BOX 781008
DETROIT, MI 482781008
Phone: (317) 528-4800
Type: Mailing
5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN 462376399
Phone: (317) 528-8921
Fax: (317) 528-6916
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 68 Open Payments records for all available years, with a total value of $1,500.
Total Amount is formed as General ($1,500) + Research ($0) + Ownership ($0) = $1,500.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Novo Nordisk Inc ($546).
Total Amount
$1,500
General + Research + Ownership
Payments
68
Total payment records
General Amount
$1,500
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $546 |
| ABBVIE INC. | $413 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $193 |
| PFIZER INC. | $127 |
| Boston Scientific Corporation | $29 |
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: 2018-06-04
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 |
|---|---|---|---|---|
| I20180604001010 | I | Family Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46143)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| Family Practice | IN | |
| Family Practice | IN | |
| Family Practice | IN | |
| Family Practice | MI | |
| Family Practice | MI | |
| Family Practice | IN | |
| Family Practice | IN | |
| Clinical Psychologist | MI | |
| Family Practice | MI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.