MR. THOMAS BRITT LACKEY (ENP) – Family Nurse Practitioner, NPI 1205904174
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for MR. THOMAS BRITT LACKEY (ENP)
655 S MAIN ST
LUMBERTON, TX 776577378
Phone: (409) 227-4084
Fax: (409) 227-4140
Type: Location
Beaumont Post Office, 1025, Majestic Drive, Beaumont, Lexington, Fayette County, Kentucky, 40513, United States
BEAUMONT, TX 777267714
Phone: (409) 893-1177
Type: Mailing
Dowlen Road, Beaumont, Jefferson County, Texas, 77708, United States
BEAUMONT, TX 777067272
Phone: (409) 893-1177
Type: Location
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 $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2024-02-28 • Largest payer in this snapshot: PFIZER INC. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $19 |
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: 2004-05-04
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 |
|---|---|---|---|---|
| I20040504000649 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 718 | 82 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 232 | 54 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 171 | 133 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 110 | 91 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 96 | 96 | $0 |
Insurance plans in this area (ZIP 77657)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | TX | 81002 | Urinalysis, manual test | 24 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX |
Reviews
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