Doctor profile · Federal record
Dr. Lacy Wagner, PA
Physician Assistant · Physician Assistant · Boise, ID
- NPI 1508537507
- Accepts Medicare
- 5 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
6051 W Emerald St
Boise, ID 837048969
(208) 302-5150
fax (208) 302-5155 - Additional location
-
1856 E Fireside Dr
Meridian, ID 836421118
(805) 748-9554 - Mailing address
-
3340 E Goldstone Dr
Meridian, ID 836421026
Credentials & registration
- NPI registered
- September 2021 — 5 yrs on file
- Profile last updated
- January 26, 2022
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Idaho #PA-2169
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1508537507. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
48
Distinct HCPCS
2
Medicare allowed
$2,697
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 36 | 36 | $53 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 12 | 12 | $65 |
In context: peer comparison
Among 112 peers in Boise Physician Assistant, average services per provider: 73. This provider delivers 0.7× the peer median.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novo Nordisk INC | 1 | $17.49 |
By nature of payment
Frequently asked questions
What is Dr. Lacy Wagner's medical specialty?
Dr. Lacy Wagner practices Physician Assistant in Boise, ID.
Where does Dr. Lacy Wagner practice?
Dr. Lacy Wagner practices at 6051 W Emerald St, Boise, ID 837048969. Office phone: 2083025150.
What is Dr. Lacy Wagner's NPI?
Dr. Lacy Wagner's National Provider Identifier (NPI) is 1508537507, issued by NPPES.
Does Dr. Lacy Wagner accept Medicare assignment?
Yes. Dr. Lacy Wagner accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Lacy Wagner commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99203). Source: CMS Medicare Physician & Other Practitioners file.