DR. NICOLE LYNN LACZ (M.D.) – Diagnostic Radiology Physician, NPI 1306052246
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,259 DIAGNOSTIC RADIOLOGY in NJ
Provider Addresses for DR. NICOLE LYNN LACZ (M.D.)
Passaic Avenue, Delawanna, Clifton, Passaic County, New Jersey, 07014, United States
STE 360
CLIFTON, NJ 070121800
Phone: (973) 284-0020
Fax: (973) 284-6310
Type: Mailing
97 W Parkway
Pompton Plains, NJ 074441647
Phone: (973) 831-5089
Fax: (973) 831-5512
Type: Location
20, High Street, Nutley, Essex County, New Jersey, 07110, United States
NUTLEY, NJ 071101132
Phone: (973) 879-3964
Fax: (973) 284-0269
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $66.
Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($31).
Total Amount
$66
General + Research + Ownership
Payments
3
Total payment records
General Amount
$66
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-07-20
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 |
|---|---|---|---|---|
| I20110720000451 | I | Diagnostic Radiology | NJ | 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 |
|---|---|---|---|---|
| 77063 | Screening 3d breast mammography | 1,062 | 1,062 | $0 |
| 77067 | Screening mammography | 1,061 | 1,061 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 634 | 634 | $0 |
| 76641 | Complete ultrasound scan of 1 breast | 349 | 349 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 318 | 280 | $0 |
Insurance plans in this area (ZIP 07012)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | NJ | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | WV | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NY | |
| Diagnostic Radiology | MA | |
| Interventional Radiology | NJ | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NJ |
Reviews
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