BENJAMIN W LACEY (MD) – Physical Medicine & Rehabilitation Physician, NPI 1306958293

BENJAMIN W LACEY (MD) is a healthcare provider. based in Renton, Washington. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials MD. They hold a License No. ML20008250 (WA). The NPI Number for BENJAMIN W LACEY (MD) is 1306958293

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN W LACEY (MD)
NPI
1306958293
Phone
(425) 227-3700
Address
601 S Carr Rd Ste 100
Enumeration Date
31 August 2006
Last Update Date
26 May 2021

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
2063262400
Graduation Year
2005 (21 years ago)
PAC ID
5193870871
Group Practice PAC ID
2466350657
Professional Enrollment ID
I20090901000544
Address ID
WA981442712SE1200XSXXX400
Telehealth
Yes

Contacts

Secure Messaging
blacey1042809@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

319 PHYSICAL MEDICINE AND REHABILITATION in WA

Provider Addresses for BENJAMIN W LACEY (MD)

  • 601 S Carr Rd Ste 100

    Renton, WA 980555802

    Phone: (425) 227-3700

    Fax: (425) 227-3115

    Type: Location

  • 1909 214th St SE Ste 300

    Bothell, WA 980214418

    Phone: (425) 412-7200

    Fax: (425) 412-7350

    Type: Location

  • Pacific Tower, 1200, 12th Avenue South, Little Saigon, Yesler Terrace, Seattle, King County, Washington, 98144, United States

    SEATTLE, WA 981442712

    Phone: (206) 621-4491

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-09-01

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
I20090901000544IPhysical Medicine And RehabilitationWATBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg37051$0
99214Established patient office or other outpatient visit, 30-39 minutes20389$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance7945$0
99204New patient office or other outpatient visit, 45-59 minutes7070$0
99213Established patient office or other outpatient visit, 20-29 minutes3834$0
View full utilization report →

Insurance plans in this area (ZIP 98055)

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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: 2466350657View full group profile

Reviews

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Frequently asked questions

What number should I use to identify BENJAMIN W LACEY (MD) for billing?
Administrative and clinical systems typically use NPI 1306958293 for BENJAMIN W LACEY (MD).
Does the public listing show BENJAMIN W LACEY (MD) as active?
BENJAMIN W LACEY (MD)'s NPI record reflects an active status in NPPES.
What services align with BENJAMIN W LACEY (MD)'s listing?
BENJAMIN W LACEY (MD)'s public classification highlights Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BENJAMIN W LACEY (MD)?
BENJAMIN W LACEY (MD) is associated with Renton, Washington in the same public data insurers reference.
Can I export BENJAMIN W LACEY (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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