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DR. JAMES A LOHAN M.D.
NPI 1134215973
Colon & Rectal Surgery in Charleston, WV

Active since October 05, 2006PECOS Enrolled
79.82/100
CMS Quality Rating
1201 WASHINGTON STREET, E, SUITE 103, CHARLESTON, WV 25301(304) 388-7270(304) 388-7280 Get Directions Write a Review

NPPES record last updated: October 8, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James A Lohan M.d. NPPES

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

DR. JAMES A LOHAN M.D. (NPI 1134215973) is an individual colon & rectal surgery provider in Charleston, West Virginia, licensed in West Virginia (21187) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134215973
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. JAMES A LOHANCredential: M.D.
Location Address1201 WASHINGTON STREET, E, SUITE 103Charleston, WV 25301
Mailing Address3100 Maccorkle Ave Se Ste 700Charleston, WV 25304-1230 · (304) 347-1300
Phone(304) 388-7270
Fax(304) 388-7280
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateOctober 8, 2013
✔ NPI 1134215973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in WV · 21187
Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

1201 WASHINGTON STREET, E, Charleston, WV 25301
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Other Identifiers 4

Medicaid3810002342WV
Medicare ID-Type UnspecifiedLO6033151WV
Medicare UPINI31910
OtherP00266381WV · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James A Lohan M.d. 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.

Areas of Expertise CMS Part B claims 6

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 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.
27 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
21 services20 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
18 services18 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25301 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
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
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.

79.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality54.4
Promoting Interoperability74
Improvement Activities40
Cost100

Reported Quality Measures

Advance Care Plan
0%417 patients1/55-star benchmark: 100%
Breast Cancer Screening
3%267 patients1/55-star benchmark: 93%
Colorectal Cancer Screening
25%484 patients2/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
84%1,286 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
18%984 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
19%1,133 patients2/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
38%346 patients2/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 381 patients
Patients totalRate: 0% · 381 patients
0%381 patients5/55-star benchmark: 100%
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 13

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

Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
11 suppliers62 claims135 services$3.45 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
11 suppliers87 claims2,170 services$4.86 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
10 suppliers53 claims797 services$2.36 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
10 suppliers75 claims318 services$5.33 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
2 suppliers19 claims310 services$8.06 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
11 suppliers90 claims2,745 services$5.75 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 3

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

DR. TODD A WITSBERGER M.D.
Surgery
1201 WASHINGTON STREET, E, SUITE 103
CHARLESTON, WV 25301
Kanawha County (304) 388-7270
DR. FRANK C LUCENTE M.D.
Surgery (Surgical Critical Care)
1201 WASHINGTON STREET, E, SUITE 103
CHARLESTON, WV 25301
Kanawha County (304) 388-7270
DR. BRYAN K RICHMOND M.D.
Surgery
1201 WASHINGTON STREET, E, SUITE 103
CHARLESTON, WV 25301
Kanawha County (304) 388-7270

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 James Lohan's NPI number?

The NPI number for James Lohan is 1134215973. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is James Lohan located?

James Lohan practices at 1201 Washington Street, E Suite 103, Charleston, WV 25301. The listed phone number is (304) 388-7270.

What is James Lohan's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is James Lohan enrolled in Medicare?

Yes. James Lohan is registered in the Medicare PECOS enrollment system.

What insurance does James Lohan accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list James Lohan 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.

When was this NPI record last updated?

The NPPES record for James Lohan was last updated on October 8, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.