DR. ROBERT JOHN LACIAK (M.D.) – Urology Physician, NPI 1114196169
Urology Physician
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Profile Insights
NPPES metrics only — not quality of care.
173 UROLOGY in OR
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Provider Addresses for DR. ROBERT JOHN LACIAK (M.D.)
990, Northwest Circle Boulevard, Corvallis, Benton County, Oregon, 97330, United States
SUITE 102
CORVALLIS, OR 973301967
Phone: (541) 768-5486
Type: Location
PO BOX 1189
CORVALLIS, OR 973391189
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 79 Open Payments records for all available years, with a total value of $6,211.
Total Amount is formed as General ($6,211) + Research ($0) + Ownership ($0) = $6,211.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Teleflex LLC ($2,280).
Total Amount
$6,211
General + Research + Ownership
Payments
79
Total payment records
General Amount
$6,211
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teleflex LLC | $2,280 |
| Laborie Medical Technologies Corp. | $2,265 |
| Boston Scientific Corporation | $252 |
| ABBVIE INC. | $158 |
| Sumitomo Pharma America, Inc. | $136 |
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: 2012-03-26
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 |
|---|---|---|---|---|
| I20120326000714 | I | Urology | OR | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 118 | 97 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 105 | 98 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 74 | 68 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 63 | 63 | $0 |
| 51702 | Simple insertion of temporary bladder tube | 57 | 16 | $0 |
Insurance plans in this area (ZIP 97330)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Physical Therapist In Private Practice | MT | |
| P S Y C H I A T R Y | OR | |
| Physician Assistant | OR | |
| - | OR | |
| - | OR | |
| Occupational Therapist In Private Practice | OR | |
| - | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| - | OR |
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