Individual provider Active NPI

Joanne L. Lacey, MD

  • Diagnostic Radiology Physician
  • Saint Louis, MO
National Provider Identifier
1508950841
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2004001646 Issued in MO
Practice address
108 Frontenac FRST
Saint Louis, MO 63131-3218
Phone
(314) 497-2368
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 2004001646 MO
Diagnostic Radiology Physician 2085R0202X 2004001646 MO Primary

Addresses

Primary practice location

108 Frontenac FRST
Saint Louis, MO 63131-3218

Mailing address

108 Frontenac FRST
Saint Louis, MO 63131-3218
Phone (314) 497-2368

Other identifiers 1

IdentifierTypeStateIssuer
209014307MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041117000885 MO Practitioner - Diagnostic Radiology 6103880224 Reassigns benefits to 2 organizations
I20230206002411 NM Practitioner - Diagnostic Radiology 6103880224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
McGill University, Faculty of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Albuquerque PAGroup PAC ID 2860304482, 103 clinicians
Advanced Imaging LLCGroup PAC ID 2860451648, 15 clinicians

Practice addresses (Care Compare)

108 Frontenac FRST
Saint Louis, MO 63131-3218
Phone (800) 841-4236

4411 The 25 Way NE
Suite 150
Albuquerque, NM 87109-5888
Phone (505) 332-5827

Hospital & facility affiliations

  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021
  • Plains Regional Medical Center Hospital, Clovis, NM, CCN 320022
  • Lincoln County Medical Center Hospital, Ruidoso, NM, CCN 321306
  • Presbyterian Espanola Hospital Hospital, Espanola, NM, CCN 320011
  • Presbyterian Santa Fe Medical Center Hospital, Santa Fe, NM, CCN 320090

Merit-based Incentive Payment System (MIPS)

Final score
89.28 of 100Reported as group
Quality
90
Improvement activities
40
Cost
77.05

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2004001646MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Albuquerque, PA Diagnostic Radiology CurrentSince Oct 26, 2022 Accepting new patients
Advanced Imaging LLC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Advanced Imaging LLC Past Accepting new patients

Locations

4411 The 25 Way NE
Ste 150
Albuquerque, NM 87109
Phone (505) 332-5800

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1508950841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 FRONTENAC FRST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631313218",
            "telephone_number": "314-497-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 FRONTENAC FRST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631313218",
            "telephone_number": "314-497-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "JOANNE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-11-09",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MO",
            "license": "2004001646",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2004001646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209014307",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.