Dr Tyler Carleton Lacy, MD - Medicare Diagnostic Radiology in Murray, UT

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Dr Tyler Carleton Lacy, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Murray, Utah. He went to Duke University School Of Medicine and graduated in 2019 and has 7 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Tellica Imaging - Washington Llc, Ihc Health Services Inc and his current practice location is 5295 S Commerce Dr Ste 550, Murray, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 313-4110.

Dr Tyler Carleton Lacy is licensed to practice in Utah (license number 14222027-1205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861955049.

Contact Information

Dr Tyler Carleton Lacy, MD
5295 S Commerce Dr Ste 550,
Murray, UT 84107-4736
(801) 313-4110
Not Available

Map and Direction




Physician's Profile

Full NameDr Tyler Carleton Lacy
GenderMale
SpecialityDiagnostic Radiology
Experience7 Years
Location5295 S Commerce Dr Ste 550, Murray, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Tyler Carleton Lacy attended and graduated from Duke University School Of Medicine in 2019
  NPI Data:
  • NPI Number: 1861955049
  • Provider Enumeration Date: 04/13/2019
  • Last Update Date: 11/12/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0941718233
  • Enrollment ID: I20260226002156

Medical Identifiers

Medical identifiers for Dr Tyler Carleton Lacy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861955049NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 14222027-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Intermountain Health Intermountain Medical CenterMurray, UTHospital
Intermountain Health Mckay-dee HospitalOgden, UTHospital
Intermountain Health Cedar City HospitalCedar city, UTHospital
Intermountain Health Alta View HospitalSandy, UTHospital
Intermountain Health Riverton HospitalRiverton, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tellica Imaging - Washington Llc064875739350
Ihc Health Services Inc18502094203948

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Tyler Carleton Lacy allows following entities to bill medicare on his behalf.
Entity NameTellica Imaging - Washington LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346093150
PECOS PAC ID: 0648757393
Enrollment ID: O20260123001076

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tyler Carleton Lacy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Tyler Carleton Lacy, MD
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: Not Available		Dr Tyler Carleton Lacy, MD
5295 S Commerce Dr Ste 550,
Murray, UT 84107-4736

Ph: (801) 313-4110

Reviews and Comments


Radiology Doctors in Murray, UT

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Dr. Jonathan Scott Shakespear, M.D.
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Dr. Richard Lewis Leake, M.D.
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Dr. Cheryl Lynn Green, M.D.
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Dr. Ivan Petrovitch, M.D.
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Brian Matthew Sheehan, MD
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Phone: 801-313-7500    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.