Individual provider Active NPI

J. Agustin Lacson, M.D.

  • Infectious Disease Physician
  • Avon Park, FL
National Provider Identifier
1831153055
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME0072358 Issued in FL
Practice address
3300 US 27 S
Avon Park, FL 33825-9701
Phone
(863) 385-6700
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME0072358 FL Primary

Addresses

Primary practice location

3300 US 27 S
Avon Park, FL 33825-9701

Mailing address

PO Box 7514
Sebring, FL 33872-0109
Phone (863) 385-6700

Other practice location 1

1709 E Oak St
Arcadia, FL 34266-8925
Phone (863) 494-2407

Other identifiers 3

IdentifierTypeStateIssuer
44661OtherFLBLUE CROSS BLUE SHIELD
024129700MedicaidFL
110241195OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040320000036 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 9739070855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3300 US Hwy 27 S
Avon Park, FL 33825-9701
Phone (863) 385-6700

Hospital & facility affiliations

  • Adventhealth Sebring Hospital, Sebring, FL, CCN 100109

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
86.83
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0072358FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J. Agustin Lacson M.D. Inc Infectious Disease CurrentSince Aug 6, 2002 Accepting new patients
J. Agustin Lacson M.D. Inc CurrentSince Aug 6, 2002 Accepting new patients
Desoto County Hospital District CurrentSince Oct 13, 2019 Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

1709 E Oak St
Arcadia, FL 34266
Phone (863) 494-2407

3300 US Highway 27 S
Avon Park, FL 33825
Phone (863) 382-6108

Interoperability endpoints

  • Direct secure messaging: agustin.lacson@jal.ssdirect.aprima.com

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 1

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1831153055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7514",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338720109",
            "telephone_number": "863-385-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 US 27 S",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259701",
            "telephone_number": "863-385-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1709 E Oak St",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342668925",
            "country_code": "US",
            "telephone_number": "863-494-2407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACSON",
        "first_name": "J. AGUSTIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME0072358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "44661",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024129700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110241195",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon Park, FL

Sources for this page

Verify at the official NPI Registry.