Thomas C. Lackey II, D. O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

OS10031 Issued in FL

Practice address

4759 Lakeview Dr
Ste 101
Sebring, FL 33870-2005

Phone

(863) 402-5600

Fax

(863) 402-5602

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

West Virginia School of Osteopathic Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Sebring Hospital, Sebring, FL, CCN 100109
• HCA Florida Highlands Hospital Hospital, Sebring, FL, CCN 100049

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tlackey@floridalakes.directbygreenway.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Lakes Surgical PLLC

  • Surgery Physician
  • Sebring, FL
  • NPI 1174727937
  Medicare reassignment NPD Authorized official
• Sebring Hospital Management Associates LLC

  • General Acute Care Hospital
  • Sebring, FL
  • NPI 1952344772
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health System-Sunbelt Inc

  • General Acute Care Hospital
  • Sebring, FL
  • NPI 1083692594
  Care Compare affiliation
• Sebring Health Services, LLC

  • General Acute Care Hospital
  • Sebring, FL
  • NPI 1598282246
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491696000000",
    "number": "1114955598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4759 LAKEVIEW DR",
            "address_2": "STE 101",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338702005",
            "telephone_number": "863-402-5600",
            "fax_number": "863-402-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4759 LAKEVIEW DR",
            "address_2": "STE 101",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338702005",
            "telephone_number": "863-402-5600",
            "fax_number": "863-402-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKEY",
        "first_name": "THOMAS",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D. O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2017-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS10031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279537000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherri Lynn Kurinko-Griffin
• Julie Marie Kwilinski, BS, CMHP
• Kye C Pahk
• L Francisco Espaillat MD PA
• Laboratory Corporation of America
• Jeff Irwin Ladinsky, PT
• Susie Lorevi Imperio Lagabon, RPH
• Lake Jackson Emergency Physicians LLC
• Lake Placid Chiropractic Clinic, Inc
• Lakeshore Manor at Lake Jackson LLC

• Surgery Physician in Sebring, FL
• Providers in Sebring, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.