MISS LACEY C GREGO (PA-C) – Physician Assistant, NPI 1144641382

MISS LACEY C GREGO (PA-C) is a healthcare provider. based in Tyler, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 50.005995RX (OH). The NPI Number for MISS LACEY C GREGO (PA-C) is 1144641382

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MISS LACEY C GREGO (PA-C)
NPI
1144641382
Phone
(903) 592-6901
Address
912 S FLEISHEL AVE
Enumeration Date
13 December 2013
Last Update Date
8 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
7012148364
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20190617002350
Address ID
OH441950001CL9500XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MISS LACEY C GREGO (PA-C)

  • 912 S FLEISHEL AVE

    TYLER, TX 757012018

    Phone: (903) 592-6901

    Fax: (903) 592-9986

    Type: Mailing

  • 912 S Fleishel Ave

    Tyler, TX 757012018

    Phone: (903) 592-6901

    Fax: (903) 592-9986

    Type: Location

  • 627 Turtle Creek Dr

    Tyler, TX 757011832

    Phone: (903) 593-2539

    Fax: (903) 593-0559

    Type: Location

  • 1082 FRESNO DR

    WESTLAKE, OH 441452728

    Phone: (254) 290-8535

    Type: Mailing

  • 9500 EUCLID AVE

    CLEVELAND, OH 441950001

    Phone: (216) 347-9885

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $224.

Total Amount is formed as General ($224) + Research ($0) + Ownership ($0) = $224.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABIOMED ($134).

Total Amount

$224

General + Research + Ownership

Payments

2

Total payment records

General Amount

$224

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$134
Astellas Pharma US Inc$90
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: 2019-06-17

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
I20190617002350IPhysician AssistantOHTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2519$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1712$0
View full utilization report →

Insurance plans in this area (ZIP 75701)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I cross-check MISS LACEY C GREGO (PA-C) using NPI 1144641382?
NPI 1144641382 belongs to MISS LACEY C GREGO (PA-C); compare other details if you need extra assurance.
Active or inactive — what applies to MISS LACEY C GREGO (PA-C)?
You should see MISS LACEY C GREGO (PA-C) as active in CMS-hosted NPPES data.
What expertise is attributed to MISS LACEY C GREGO (PA-C)?
MISS LACEY C GREGO (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MISS LACEY C GREGO (PA-C)?
Directory geography for MISS LACEY C GREGO (PA-C) centers on Tyler, Texas.
Does MISS LACEY C GREGO (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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