DR. JOSHUA TAYLOR LACKEY (MD) – Orthopaedic Hand Surgery Physician, NPI 1306341367

DR. JOSHUA TAYLOR LACKEY (MD) is a healthcare provider. based in Austin, Texas. specializing in ORTHOPEDIC SURGERY, HAND SURGERY. They hold the professional credentials MD. They hold a License No. V0787 (TX). The NPI Number for DR. JOSHUA TAYLOR LACKEY (MD) is 1306341367

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSHUA TAYLOR LACKEY (MD)
NPI
1306341367
Phone
(254) 466-4210
Address
11615 ANGUS RD STE 106
Enumeration Date
29 March 2018
Last Update Date
18 November 2024

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
5124501300
Graduation Year
2018 (8 years ago)
PAC ID
9830555044
Group Practice PAC ID
3779596986
Professional Enrollment ID
I20241227001812
Address ID
TX787051130AU900XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

802 ORTHOPEDIC SURGERY in MO

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Provider Addresses for DR. JOSHUA TAYLOR LACKEY (MD)

  • 11615 ANGUS RD STE 106

    AUSTIN, TX 787594064

    Phone: (254) 466-4210

    Type: Mailing

  • 2380 S MACGREGOR WAY APT 452

    HOUSTON, TX 770211169

    Phone: (254) 466-4210

    Type: Mailing

  • Truman Medical Center, Hospital Hill, 2301, Holmes Street, Hospital Hill, Kansas City, Jackson County, Missouri, 64108, United States

    KANSAS CITY, MO 641082677

    Phone: (816) 404-4175

    Fax: (816) 404-0003

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $1,040.

Total Amount is formed as General ($1,040) + Research ($0) + Ownership ($0) = $1,040.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Stryker Corporation ($653).

Total Amount

$1,040

General + Research + Ownership

Payments

13

Total payment records

General Amount

$1,040

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2024-12-27

PECOS data refreshed: 2026-06-15

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
I20241227001812IOrthopedic SurgeryTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78759)

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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: 3779596986View full group profile
NameSpecialtyState
Orthopedic SurgeryTX
Physical Therapist In Private PracticeTX
Orthopedic SurgeryTX
Orthopedic Surgery, Sports MedicineTX
Physician AssistantTX
Physical Therapist In Private PracticeVA
Orthopedic Surgery, Sports MedicineIL
-TX
Physician AssistantTX
Orthopedic SurgeryTX

Reviews

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Frequently asked questions

How do I look up DR. JOSHUA TAYLOR LACKEY (MD) by NPI?
Use NPI 1306341367 when you need to reference DR. JOSHUA TAYLOR LACKEY (MD) in forms, claims, or directories.
Is DR. JOSHUA TAYLOR LACKEY (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. JOSHUA TAYLOR LACKEY (MD)?
The page reflects Orthopaedic Hand Surgery Physician for DR. JOSHUA TAYLOR LACKEY (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. JOSHUA TAYLOR LACKEY (MD)?
We surface Austin, Texas for DR. JOSHUA TAYLOR LACKEY (MD) based on available NPPES addresses.
How can I contact DR. JOSHUA TAYLOR LACKEY (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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