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DR. CORMACK LAZARUS MD
NPI 1194427351
Family Medicine in Bryan, OH

Active since March 21, 2023PECOS Enrolled
442 W HIGH ST STE 3, BRYAN, OH 43506(419) 636-4517(419) 633-4169 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 1, 2026, Mar 21, 2023 (2 updates tracked since 2023).

About Dr. Cormack Lazarus Md NPPES

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

DR. CORMACK LAZARUS MD (NPI 1194427351) is an individual family medicine provider in Bryan, Ohio, licensed in Ohio (35.155916) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194427351
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CORMACK LAZARUSCredential: MD
Location Address442 W HIGH ST STE 3Bryan, OH 43506-1681
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(419) 636-4517
Fax(419) 633-4169
Sole ProprietorYes
Enumeration DateMarch 21, 2023
Last NPPES UpdateJune 8, 20262 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
✔ NPI 1194427351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35.155916
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
442 W HIGH ST STE 3, Bryan, OH 43506
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cormack Lazarus Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Cormack Lazarus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Midwest Community Health Associates, Inc.
Same address
Family Medicine
442 W HIGH ST
Bryan, OH 43506
  • Reassigned Medicare billing, Ohio enrollment
  • 133 clinicians in this Medicare group
NPI 1619915170 (419) 636-4517

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43506 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

SARA LOUISE NYE NP
Nurse Practitioner
442 W HIGH ST STE 3
BRYAN, OH 43506
Williams County (419) 636-4517
BRANDON RASEY
Registered Nurse (Emergency)
442 W HIGH ST STE 3
BRYAN, OH 43506
Williams County (419) 636-4517
JOHN DARNALL DPT
Physical Therapist
442 W HIGH ST STE 3
BRYAN, OH 43506
Williams County (419) 636-4517
KEVIN L PARK MD
Family Medicine
442 W HIGH ST STE 3
BRYAN, OH 43506
Williams County (419) 636-4517
ANNA TRUBEY
Nurse Practitioner
442 W HIGH ST STE 3
BRYAN, OH 43506
Williams County (419) 636-4517
MRS. SUSAN K MURRY N.P.
Nurse Practitioner
442 W HIGH ST STE 3
BRYAN, OH 43506
Williams County (419) 636-4517
JODI ARNOLD PT
Physical Therapist
442 W HIGH ST STE 3
BRYAN, OH 43506
Williams County (419) 636-4517
LAWRENCE M KENNEDY MD
Physical Medicine & Rehabilitation
442 W HIGH ST STE 3
BRYAN, OH 43506
Williams County (419) 636-4517

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 Cormack Lazarus's NPI number?

The NPI number for Cormack Lazarus is 1194427351. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Cormack Lazarus located?

Cormack Lazarus practices at 442 W High St Ste 3, Bryan, OH 43506. The listed phone number is (419) 636-4517.

What is Cormack Lazarus's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Cormack Lazarus enrolled in Medicare?

Yes. Cormack Lazarus is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cormack Lazarus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cormack Lazarus reassigns Medicare benefits to Midwest Community Health Associates, Inc. (Bryan, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cormack Lazarus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cormack Lazarus accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Molina Healthcare list Cormack Lazarus 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 Cormack Lazarus was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.