MRS. MARY KATHLEEN LANE PA-C
NPI 1083738595
Physician Assistant - Medical in Lebanon, OR

Q: What is Mary Lane's NPI number?

The NPI number for Mary Lane is 1083738595. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Q: What is Mary Lane's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Mary Lane was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 19, 2007PECOS EnrolledAccepts Medicare Assignment

98.71/100

CMS Quality Rating

325 PARK ST, LEBANON, OR 97355(541) 451-7200(541) 451-7207 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Mary Kathleen Lane Pa-c NPPES

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

MRS. MARY KATHLEEN LANE PA-C (NPI 1083738595) is an individual medical provider in Lebanon, Oregon, licensed in Oregon (PA01341) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1083738595

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. MARY KATHLEEN LANECredential: PA-C

Location Address325 PARK STLebanon, OR 97355-4229

Mailing AddressPo Box 1193Corvallis, OR 97339-1193

Phone(541) 451-7200

Fax(541) 451-7207

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateMarch 19, 2007

Last NPPES UpdateNovember 5, 2020

NPPES CertifiedNovember 5, 2020

✔ NPI 1083738595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in OR · PA01341✔ Licensed in IL · 085-000746

325 PARK ST, Lebanon, OR 97355

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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

Mrs. Mary Kathleen Lane Pa-c 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 ID3274600044

PECOS Enrollment IDI20090317000128

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.

Hospital Affiliations CMS Care Compare 3

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

Good Samaritan Regional Medical Center

Acute Care Hospitals · Corvallis, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380014

Location3600 NW Samaritan DriveCorvallis, OR 97330 · Benton County

Emergency services Birthing friendly

Samaritan Albany General Hospital

Acute Care Hospitals · Albany, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380022

Location1046 6th Avenue SWAlbany, OR 97321 · Linn County

Emergency services Birthing friendly

Samaritan Lebanon Community Hospital

Critical Access Hospitals · Lebanon, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number381323

Location525 N Santiam HighwayLebanon, OR 97355 · Linn 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.

98.71/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

87.18

Promoting Interoperability

100

Improvement Activities

Cost

91.87

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers21 claims59 services$6.41 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 10

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

MS. JINNY A FARRAR PA-C

Physician Assistant (Medical)

325 PARK ST
LEBANON, OR 97355

Linn County (541) 451-7200

REDA TAWFIK BASSALY PA-C

Physician Assistant (Medical)

325 PARK ST
LEBANON, OR 97355

Linn County (541) 451-7200

DR. THAD L. NELSON M.D.

Family Medicine

325 PARK ST
LEBANON, OR 97355

Linn County (541) 451-7200

DR. SEDRICK A. SALISBURY M.D.

Internal Medicine

325 PARK ST
LEBANON, OR 97355

Linn County (541) 451-7200

DR. KENNETH L. ORWICK M.D.

Family Medicine

325 PARK ST
LEBANON, OR 97355

Linn County (541) 451-7200

MID-VALLEY HEALTHCARE, INC.

Clinic/Center (Rural Health)

325 PARK ST
LEBANON, OR 97355

Linn County (541) 451-7200

GEOFFREY SCHAUBHUT PH.D.

Psychologist

325 PARK ST
LEBANON, OR 97355

Linn County (320) 290-9980

MR. C BEN JOHNSON PA-C

Physician Assistant

325 PARK ST
LEBANON, OR 97355

Linn County (541) 451-7200

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 Mary Lane's NPI number?

The NPI number for Mary Lane is 1083738595. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Mary Lane located?

Mary Lane practices at 325 Park St, Lebanon, OR 97355. The listed phone number is (541) 451-7200.

What is Mary Lane's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mary Lane enrolled in Medicare?

Yes. Mary Lane 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 Mary Lane accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Mary Lane 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 Mary Lane affiliated with any hospitals?

According to CMS data, Mary Lane is affiliated with Good Samaritan Regional Medical Center, Samaritan Albany General Hospital and Samaritan Lebanon Community Hospital.

When was this NPI record last updated?

The NPPES record for Mary Lane was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.