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AMOS MART LANE D.O.
NPI 1114167335
Emergency Medicine in Charleston, WV

Active since February 27, 2009PECOS Enrolled
90.11/100
CMS Quality Rating
3110 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 388-7170(304) 388-1858 Get Directions Write a Review

NPPES record last updated: May 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amos Mart Lane D.o. NPPES

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

AMOS MART LANE D.O. (NPI 1114167335) is an individual emergency medicine provider in Charleston, West Virginia, licensed in West Virginia (2476) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114167335
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameAMOS MART LANECredential: D.O.
Location Address3110 MACCORKLE AVE SECharleston, WV 25304-1210
Mailing Address3110 Maccorkle Ave SeCharleston, WV 25304-1210 · (304) 388-7170 · Fax (304) 388-1858
Phone(304) 388-7170
Fax(304) 388-1858
Sole ProprietorNo
Enumeration DateFebruary 27, 2009
Last NPPES UpdateMay 9, 2017
✔ NPI 1114167335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WV · 2476
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3110 MACCORKLE AVE SE, Charleston, WV 25304
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amos Mart Lane D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

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.

DR. KARINNA HOPE ANDREWS D.O.
Obstetrics & Gynecology
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-2068
TERESA GAYLE WAUGH RN, CDE
Registered Nurse (Diabetes Educator)
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-5555
ADAM THOMAS CRAWFORD D.O.
Emergency Medicine
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-7170
BRITTAIN MCJUNKIN MD
Internal Medicine (Gastroenterology)
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 347-1300
DR. EMILY A.P. MONTGOMERY M.D.
Obstetrics & Gynecology
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 347-1300
DR. CHRISTIAN CONSTANTINE DIAS DO
Student in an Organized Health Care Education/Training Program
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-9948
DR. ROBERT MYLES AUSTIN D.O.
Emergency Medicine
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-7170
MOHAMED ABDELFATTAH AHMED ARAFA M.D
Student in an Organized Health Care Education/Training Program
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-1000

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 Amos Lane's NPI number?

The NPI number for Amos Lane is 1114167335. It was assigned to this individual provider in the NPPES registry on February 27, 2009.

Where is Amos Lane located?

Amos Lane practices at 3110 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 388-7170.

What is Amos Lane's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Amos Lane enrolled in Medicare?

Yes. Amos Lane is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amos Lane was last updated on May 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.