LANCE M COHEN
NPI 1053461152
Specialist in Clearwater, FL

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1330 S FORT HARRISON AVE, CLEARWATER, FL 33756(727) 441-3588(727) 461-1038 Get Directions Write a Review

NPPES record last updated: September 2, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lance M Cohen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LANCE M COHEN (NPI 1053461152) is an individual specialist in Clearwater, Florida, licensed in Florida (ME57724) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Mease Dunedin Hospital, and is a graduate of New York University School Of Medicine (1985).

NPPES Registry Identity

NPI1053461152
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameLANCE M COHEN
Location Address1330 S FORT HARRISON AVEClearwater, FL 33756-3313
Mailing Address1330 S Fort Harrison AveClearwater, FL 33756-3313 · (727) 441-3588 · Fax (727) 461-1038
Fax(727) 461-1038
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1985
Enumeration DateJanuary 11, 2007
Last NPPES UpdateSeptember 2, 2015
NPI 1053461152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · ME57724
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1330 S FORT HARRISON AVE, Clearwater, FL 33756

Other Identifiers 2

Medicaid006282600FL
Medicare UPINE54527FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lance M Cohen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537129796
PECOS Enrollment IDI20101104000988
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 22

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
840 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
467 services391 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
325 services228 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
197 services156 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
183 services12 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
119 services106 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mease Dunedin Hospital

Acute Care Hospitals · Dunedin, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100043
Location601 Main StDunedin, FL 34698 · Pinellas County
Emergency services

Morton Plant North Bay Hospital

Acute Care Hospitals · New Port Richey, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100063
Location6600 Madison StNew Port Richey, FL 34652 · Pasco County
Emergency services

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Mease Countryside Hospital

Acute Care Hospitals · Safety Harbor, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100265
Location3231 Mcmullen Booth RdSafety Harbor, FL 34695 · Pinellas County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
Percentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapy
98%200 patients
Acute Otitis Externa (AOE): Topical Therapy
Percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations
91%198 patients4/55-star benchmark: 100%
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms
Lower rates are better for this measure.
58%38 patients2/55-star benchmark: 100%
Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)
Percentage of patients aged 18 years and older with a diagnosis of acute bacterial sinusitis that were prescribed amoxicillin, with or without clavulanate, as a first line antibiotic at the time of diagnosis
86%22 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,925 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
51%74 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
46%1,064 patients2/55-star benchmark: 100%
Sleep Apnea: Assessment of Sleep Symptoms
Percentage of visits for patients aged 18 years and older with a diagnosis of obstructive sleep apnea that includes documentation of an assessment of sleep symptoms, including presence or absence of snoring and daytime sleepiness
74%185 patients3/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
82%39 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers20 claims20 services$31.99 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers20 claims68 services$15.66 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers15 claims58 services$11.39 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers27 claims27 services$44.89 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers21 claims21 services$13.71 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers38 claims140 services$1.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
1330 S FORT HARRISON AVE
CLEARWATER, FL 33756
Otolaryngology
1330 S FORT HARRISON AVE
CLEARWATER, FL 33756
Audiologist
1330 S FORT HARRISON AVE
CLEARWATER, FL 33756
Physician Assistant (Medical)
1330 S FORT HARRISON AVE
CLEARWATER, FL 33756
Otolaryngology
1330 S FORT HARRISON AVE
CLEARWATER, FL 33756
Audiologist
1330 S FORT HARRISON AVE
CLEARWATER, FL 33756
Specialist
1330 S FORT HARRISON AVE
CLEARWATER, FL 33756
Audiologist
1330 S FORT HARRISON AVE
CLEARWATER, FL 33756

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lance Cohen's NPI number?

The NPI number for Lance Cohen is 1053461152. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Lance Cohen located?

Lance Cohen practices at 1330 S Fort Harrison Ave, Clearwater, FL 33756. The listed phone number is (727) 441-3588.

What is Lance Cohen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Lance Cohen enrolled in Medicare?

Yes. Lance Cohen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lance Cohen accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Lance Cohen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lance Cohen affiliated with any hospitals?

According to CMS data, Lance Cohen is affiliated with Mease Dunedin Hospital, Morton Plant North Bay Hospital, Morton Plant Hospital and Mease Countryside Hospital.

When was this NPI record last updated?

The NPPES record for Lance Cohen was last updated on September 2, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.