ANTHONY N LACKEY (P.A.) – Physician Assistant, NPI 1295718898

ANTHONY N LACKEY (P.A.) is a healthcare provider. based in Marquette, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 5601003024 (MI). The NPI Number for ANTHONY N LACKEY (P.A.) is 1295718898

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY N LACKEY (P.A.)
NPI
1295718898
Phone
(888) 674-0854
Address
420 W MAGNETIC ST
Enumeration Date
29 November 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9064852665
Graduation Year
1998 (28 years ago)
PAC ID
7012953896
Group Practice PAC ID
4981833654
Professional Enrollment ID
I20050701000211
Address ID
MI498491367IS901XXDRXX312
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for ANTHONY N LACKEY (P.A.)

  • West Magnetic Street, Marquette, Marquette County, Michigan, 49855, United States

    SUITE ER

    MARQUETTE, MI 498552711

    Phone: (888) 674-0854

    Fax: (906) 225-3370

    Type: Location

  • PO BOX 220

    MARQUETTE, MI 498550220

    Phone: (888) 674-0854

    Fax: (906) 225-3370

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $340.

Total Amount is formed as General ($340) + Research ($0) + Ownership ($0) = $340.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($98).

Total Amount

$340

General + Research + Ownership

Payments

12

Total payment records

General Amount

$340

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2005-07-01

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
I20050701000211IPhysician AssistantMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes16684$0
99213Established patient office or other outpatient visit, 20-29 minutes8061$0
G0008Administration of influenza virus vaccine3432$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage3230$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3232$0
View full utilization report →

Insurance plans in this area (ZIP 49855)

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Provider's Procedures

ANTHONY N LACKEY (P.A.) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMI90670Pneumococcal vaccine for injection into muscle2525

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: 4981833654View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerWY
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI
-MI
Nurse PractitionerMI
-MI
-MI
Nurse PractitionerSC
O B S T E T R I C S/ G Y N E C O L O G YRI

Reviews

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Frequently asked questions

What unique ID ties claims to ANTHONY N LACKEY (P.A.)?
NPI 1295718898 is assigned to ANTHONY N LACKEY (P.A.) under the national enumeration system.
Is ANTHONY N LACKEY (P.A.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does ANTHONY N LACKEY (P.A.) list a primary specialty?
If you are matching referrals, note Physician Assistant for ANTHONY N LACKEY (P.A.). Clinical services aligned with this taxonomy classification.
Where does public data place ANTHONY N LACKEY (P.A.)?
The snapshot lists Marquette, Michigan for ANTHONY N LACKEY (P.A.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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