Active NPI
J. Agustin Lacson, M.D.
- Infectious Disease Physician
- Avon Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME0072358
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44661 | Other | FL | BLUE CROSS BLUE SHIELD |
| 024129700 | Medicaid | FL | |
| 110241195 | Other | FL | RAILROAD 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040320000036 | FL | Practitioner - Infectious Disease | 9739070855 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- 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
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 86.83
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0072358 | FL | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J. Agustin Lacson M.D. Inc | Infectious Disease | Current | Accepting new patients |
| J. Agustin Lacson M.D. Inc | Current | Accepting new patients | |
| Desoto County Hospital District | Current | 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
- 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.
-
- Infectious Disease Physician
- Avon Park, FL
- NPI 1619931821
FL, Infectious Disease
-
- Community/Retail Pharmacy
- Winter Haven, FL
- NPI 1093529315
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.