DR. MELISSA M LACKEY (D.M.D.,M.D.) – Oral and Maxillofacial Surgery (Dentist), NPI 1386635514

DR. MELISSA M LACKEY (D.M.D.,M.D.) is a healthcare provider. based in Melrose, Massachusetts. specializing in Oral and Maxillofacial Surgery (Dentist). They hold the professional credentials D.M.D.,M.D.. They hold a License No. 19457 (MA). The NPI Number for DR. MELISSA M LACKEY (D.M.D.,M.D.) is 1386635514

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. MELISSA M LACKEY (D.M.D.,M.D.)
NPI
1386635514
Phone
(781) 662-6228
Address
810 MAIN ST
Enumeration Date
5 November 2005
Last Update Date
17 September 2025

Doctor Profile

Medical School Name
HARVARD SCHOOL OF DENTAL MEDICINE
Secondary Phone
7816626228
Graduation Year
1998 (28 years ago)
PAC ID
1052320017
Group Practice PAC ID
0244249209
Professional Enrollment ID
I20060913000162
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MELISSA M LACKEY (D.M.D.,M.D.)

  • 810, Main Street, Melrose, Middlesex County, Massachusetts, 02176, United States

    MELROSE, MA 021762711

    Phone: (781) 662-6228

    Fax: (781) 622-4455

    Mailing address matches the actual address.

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: 2006-09-13

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
I20060913000162IOral SurgeryMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02176)

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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: 0244249209View full group profile
NameSpecialtyState
Oral SurgeryMA
Oral SurgeryMA

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Frequently asked questions

What unique ID ties claims to DR. MELISSA M LACKEY (D.M.D.,M.D.)?
NPI 1386635514 is assigned to DR. MELISSA M LACKEY (D.M.D.,M.D.) under the national enumeration system.
Is DR. MELISSA M LACKEY (D.M.D.,M.D.)'s NPI currently valid?
The extract we use shows DR. MELISSA M LACKEY (D.M.D.,M.D.) as active.
Does DR. MELISSA M LACKEY (D.M.D.,M.D.) list a primary specialty?
If you are matching referrals, note Oral and Maxillofacial Surgery (Dentist) for DR. MELISSA M LACKEY (D.M.D.,M.D.). Clinical services aligned with this taxonomy classification.
Does DR. MELISSA M LACKEY (D.M.D.,M.D.) practice in Massachusetts?
You will see Melrose, Massachusetts on file for DR. MELISSA M LACKEY (D.M.D.,M.D.) alongside any extra practice locations.
What if Melrose, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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