Active NPI 1760421663 Individual Practitioner Female Practitioner

Vicki Lackey , ANP

Nurse Practitioner - Family • Munster, IN

Professional Overview & Biography Verified Profile Summary

Vicki Lackey, ANP is a registered healthcare professional specializing in Nurse Practitioner - Family in Munster, IN. Practice services are available at 1950 45TH ST STE 200 under active NPI credentials.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1950 45th St Ste 200

Munster, IN 463213958

Telephone 2199123376

Fax 2195296267

Associated Practice Facility / Clinic

🏢 Skin Dermatology, Llc Facility NPI 1386399749

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Munster, IN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 8.8 Yrs

State Avg: 9.6 Yrs

Regional Practice Density

126 Specialists

Practicing in Munster, IN (5921 Statewide)

Telehealth Adoption Rate

8.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	567	94	$12.45	$5.21
99213 Established patient office or other outpatient visit, typically 15 minutes	311	202	$170.93	$71.65
17000 Destruction of skin growth	178	126	$126.27	$41.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$207.99	$87.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	60	$241.68	$101.27
17110 Destruction of up to 14 skin growths	67	54	$211.42	$82.71
11102 Tangential biopsy of single skin lesion	47	40	$185.98	$67.25
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	37	28	$225.10	$75.25
11104 Punch biopsy, first skin growth	28	27	$230.44	$93.44
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	28	26	$186.24	$57.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$106.09	$44.43
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$135.15	$57.00
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	19	17	$214.03	$77.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$313.80	$131.46
17004 Destruction of precancer skin growth, 15 or more growths	17	15	$310.92	$130.44
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	16	14	$195.28	$63.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	469	82	$12.57	$5.34
99213 Established patient office or other outpatient visit, typically 15 minutes	226	151	$170.23	$72.02
17000 Destruction of skin growth	156	107	$125.94	$39.45
17110 Destruction of up to 14 skin growths	73	57	$212.49	$86.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$210.17	$89.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	45	$240.86	$102.79
11102 Tangential biopsy of single skin lesion	42	38	$189.89	$66.54
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	28	26	$189.86	$65.00
11104 Punch biopsy, first skin growth	25	25	$235.21	$100.26
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$135.71	$57.90
11103 Biopsy of related skin growth, each additional growth	22	11	$94.24	$40.18
17004 Destruction of precancer skin growth, 15 or more growths	15	13	$316.28	$134.69
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	14	14	$229.06	$87.09
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	13	13	$218.58	$82.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$313.31	$125.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	151	30	$12.74	$5.40
99213 Established patient office or other outpatient visit, typically 15 minutes	55	55	$171.68	$72.82
17000 Destruction of skin growth	49	44	$126.08	$39.84
17110 Destruction of up to 14 skin growths	29	27	$212.36	$90.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$210.90	$89.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$243.26	$103.20
11102 Tangential biopsy of single skin lesion	22	21	$192.44	$70.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,042	217	$15.00	$5.25
99213 Established patient office or other outpatient visit, typically 15 minutes	553	434	$133.62	$74.00
17000 Destruction of skin growth	354	285	$114.00	$42.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	208	176	$196.33	$103.98
11102 Tangential biopsy of single skin lesion	190	178	$163.00	$78.98
17110 Destruction of up to 14 skin growths	119	103	$189.00	$88.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$192.94	$90.09
11103 Biopsy of related skin growth, each additional growth	89	67	$88.00	$42.52
11104 Punch biopsy, first skin growth	36	34	$205.00	$104.55
17004 Destruction of precancer skin growth, 15 or more growths	25	22	$300.00	$133.25
11200 Removal of skin tag, 1-15 skin tags	21	20	$151.00	$58.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$87.63	$45.49
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	16	13	$165.00	$62.18
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$131.21	$58.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	722	133	$15.00	$4.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	386	281	$189.00	$87.75
99213 Established patient office or other outpatient visit, typically 15 minutes	229	193	$126.00	$60.84
17000 Destruction of skin growth	223	179	$114.00	$41.71
11102 Tangential biopsy of single skin lesion	148	138	$163.00	$76.51
17110 Destruction of up to 14 skin growths	75	65	$189.00	$88.79
11103 Biopsy of related skin growth, each additional growth	68	51	$88.00	$42.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$190.00	$87.15
11104 Punch biopsy, first skin growth	40	39	$205.00	$99.48
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$129.00	$60.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	34	$75.00	$36.68
17004 Destruction of precancer skin growth, 15 or more growths	33	29	$300.00	$128.19
11200 Removal of skin tag, 1-15 skin tags	16	15	$151.00	$60.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	753	128	$15.00	$4.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	532	367	$189.00	$87.23
99213 Established patient office or other outpatient visit, typically 15 minutes	300	234	$126.00	$59.47
17000 Destruction of skin growth	246	177	$114.00	$40.62
11102 Tangential biopsy of single skin lesion	222	205	$163.00	$75.40
11103 Biopsy of related skin growth, each additional growth	117	69	$88.00	$42.52
17110 Destruction of up to 14 skin growths	112	88	$189.00	$87.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$190.00	$85.94
99202 New patient office or other outpatient visit, typically 20 minutes	55	55	$129.00	$61.40
11104 Punch biopsy, first skin growth	43	41	$205.00	$97.91
17004 Destruction of precancer skin growth, 15 or more growths	30	23	$300.00	$121.29
11200 Removal of skin tag, 1-15 skin tags	25	24	$151.00	$53.88
69100 Biopsy of ear	13	13	$216.00	$60.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	580	99	$15.00	$4.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	469	323	$188.44	$85.92
99213 Established patient office or other outpatient visit, typically 15 minutes	301	225	$126.00	$58.09
11100 Biopsy of single growth of skin and/or tissue	251	214	$161.51	$80.47
17000 Destruction of skin growth	207	139	$106.63	$41.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$190.00	$85.65
11101 Biopsy of each additional growth of skin and/or tissue	87	62	$60.00	$25.76
17110 Destruction of up to 14 skin growths	83	62	$183.90	$88.38
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	79	17	$6.00	$1.81
99202 New patient office or other outpatient visit, typically 20 minutes	42	42	$129.00	$59.81
17004 Destruction of precancer skin growth, 15 or more growths	28	16	$300.00	$114.08
11200 Removal of skin tag, 1-15 skin tags	22	21	$145.00	$53.16
11900 Injection into skin growth, 1-7 growths	16	14	$92.50	$38.88
69100 Biopsy of ear	16	13	$216.00	$59.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	540	83	$15.34	$4.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	375	245	$181.66	$84.76
99213 Established patient office or other outpatient visit, typically 15 minutes	370	237	$124.44	$57.50
11100 Biopsy of single growth of skin and/or tissue	205	177	$154.50	$79.39
17000 Destruction of skin growth	157	105	$103.95	$42.47
17110 Destruction of up to 14 skin growths	95	66	$182.23	$85.70
11101 Biopsy of each additional growth of skin and/or tissue	83	60	$61.30	$25.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$187.31	$85.93
99202 New patient office or other outpatient visit, typically 20 minutes	62	62	$128.58	$59.37
17004 Destruction of precancer skin growth, 15 or more growths	18	11	$304.00	$114.44
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	18	13	$277.00	$105.43
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	18	13	$499.00	$358.58
11200 Removal of skin tag, 1-15 skin tags	13	12	$143.92	$59.17

Medical Specialties & State Licenses

CMS Verified: 2022-10-03

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License IN 71001103

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200459250 (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Namrata Shah , MD

Dermatology

NPI 1548460173

Doctor of Medicine (M.D.)

Carolyn Trieu , PA-C

Physician Assistant

NPI 1639786999

Physician Assistant (Certified)

Dr. Tarun Kukreja , MD

Dermatology

NPI 1760671119

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location October 03, 2022

Registered at 1950 45TH ST STE 200, MUNSTER, IN 463213958 (Tel: 2199123376)

📍

Updated Business Mailing Address October 03, 2022

Registered at 1950 45TH ST STE 200, MUNSTER, IN 463213958 (Tel: 2199123376)

📍

Updated Business Mailing Address March 20, 2021

Registered at PO BOX 781076, DETROIT, MI 482781076 (Tel: 3175284800)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 7905 CALUMET AVE, HAMMOND CLINIC LLC, MUNSTER, IN 463211215 (Tel: 2198367214)

📍

Updated Business Mailing Address July 08, 2007

Registered at 7905 CALUMET AVE, HAMMOND CLINIC LLC, MUNSTER, IN 463211215 (Tel: 2198367214)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as VICKI LACKEY, ANP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #71001103 in IN)

🟢

Initial NPI Registration & Enumeration June 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760421663

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 06, 2006

Last Update: October 03, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1950 45th St Ste 200

Munster, IN 463213958

Phone: 2199123376

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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