Lacey Zack, M.D.
NPI 1124315916ActiveIndividual· Orthopaedic Surgery· Los Angeles, CA
Orthopaedic Surgery (M.D.) in Los Angeles, California, trained at University of Southern California Keck School of Medicine (class of 2009). Mostly services rather than prescriptions: Medicare paid $32,421 for 38 patients in 2024, with only 34 Part D claims. Saxum Surgical, Inc. reported $36.49 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1124315916 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 30, 2011 |
| Last updated in NPPES | Jan 6, 2020 |
| Certified by provider | Jan 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | A116342 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Orthopedic Surgery (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 38 |
|---|---|
| Services billed | 575 across 21 procedure codes |
| Paid by Medicare | $32,421 |
Part D prescriptions in 2024
| Prescriptions (claims) | 34 · 34 30-day fills |
|---|---|
| Patients | 13 |
| Total drug cost | $215.07 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | University of Southern California Keck School of Medicine |
|---|---|
| Graduation year | 2009 |
| Medicare specialty | Orthopedic Surgery |
| Secondary specialties | Sports Medicine |
Medical group
- Lacey Zack MD IncLos Angeles, CA · 2 clinicians
Other facilities
- Radium Home Health Care IncHome health agency · Glendale, CA
Industry payments (Open Payments)
- 2024$36.49 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Saxum Surgical, Inc. | $36.49 | 1 |
What the 2024 payments were for
- Food and Beverage$36.49 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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