DR. KENT LACEY (M.D.) – Family Medicine Physician, NPI 1043226517
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. KENT LACEY (M.D.)
3911, Avenue B, Scottsbluff, Scotts Bluff County, Nebraska, 69361, United States
SUITE 1100
SCOTTSBLUFF, NE 693614617
Phone: (308) 630-2100
Fax: (308) 630-1890
Type: Location
2215, 3rd Avenue, Scottsbluff, Scotts Bluff County, Nebraska, 69361, United States
SCOTTSBLUFF, NE 693612032
Phone: (308) 632-4259
Fax: (308) 630-2113
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-03-10 • Largest payer in this snapshot: Xeris Pharmaceuticals, Inc. ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Xeris Pharmaceuticals, Inc. | $15 |
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: 2008-11-12
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 |
|---|---|---|---|---|
| I20081112000044 | I | Family Practice | NE | 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 69361)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | NE | 90670 | Pneumococcal vaccine for injection into muscle | 41 | 41 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NE | |
| Nurse Practitioner | NE | |
| Family Practice | NE | |
| - | NE | |
| Family Practice, Obstetrics/Gynecology | NE | |
| Family Practice | NE | |
| Nurse Practitioner | NE | |
| Geriatric Medicine, Family Practice, Geriatric Psychiatry | NE |
Reviews
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