LACY M WINDHAM (MD) – Obstetrics & Gynecology Physician, NPI 1750542494

LACY M WINDHAM (MD) is a healthcare provider. based in Cleveland, Tennessee. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. MD0000046066 (TN). The NPI Number for LACY M WINDHAM (MD) is 1750542494

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
LACY M WINDHAM (MD)
NPI
1750542494
Phone
(423) 339-1400
Address
2301 N OCOEE ST
Enumeration Date
24 June 2008
Last Update Date
8 July 2010

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
4233391400
Graduation Year
2006 (20 years ago)
PAC ID
2769674522
Group Practice PAC ID
9931167707
Professional Enrollment ID
I20101012000575
Address ID
TN373113869CL2301XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

897 OBSTETRICS/GYNECOLOGY in TN

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Provider Addresses for LACY M WINDHAM (MD)

  • 2301, North Ocoee Street, North Cleveland, Cleveland, Bradley County, Tennessee, 37311, United States

    SUITE A

    CLEVELAND, TN 373113863

    Phone: (423) 339-1400

    Fax: (423) 339-9950

    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)

CMS reports 64 Open Payments records for all available years, with a total value of $1,240.

Total Amount is formed as General ($1,240) + Research ($0) + Ownership ($0) = $1,240.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($408).

Total Amount

$1,240

General + Research + Ownership

Payments

64

Total payment records

General Amount

$1,240

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-10-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101012000575IObstetrics/GynecologyTNTBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination4141$0
99214Established patient office or other outpatient visit, 30-39 minutes3529$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory2121$0
99213Established patient office or other outpatient visit, 20-29 minutes1211$0
99202New patient office or other outpatient visit, 15-29 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 37311)

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Provider's Procedures

LACY M WINDHAM (MD) performs procedures in OBSTETRICS/GYNECOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OBSTETRICS/GYNECOLOGYTN76830Ultrasound pelvis through vagina1717

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: 9931167707View full group profile
NameSpecialtyState
-TN
O B S T E T R I C S/ G Y N E C O L O G YTN
Nurse PractitionerTN
O B S T E T R I C S/ G Y N E C O L O G YTN
Nurse PractitionerTN
Nurse PractitionerTN
O B S T E T R I C S/ G Y N E C O L O G YTN
O B S T E T R I C S/ G Y N E C O L O G YTN

Reviews

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Frequently asked questions

What number should I use to identify LACY M WINDHAM (MD) for billing?
Administrative and clinical systems typically use NPI 1750542494 for LACY M WINDHAM (MD).
Does the public listing show LACY M WINDHAM (MD) as active?
LACY M WINDHAM (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits LACY M WINDHAM (MD)?
NPPES ties LACY M WINDHAM (MD) to Obstetrics & Gynecology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit LACY M WINDHAM (MD) in Cleveland, Tennessee?
For routing, start with Cleveland, Tennessee for LACY M WINDHAM (MD), then verify phone and hours locally.
Who maintains LACY M WINDHAM (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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