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JAMES W LANE MD
NPI 1215913843
Family Medicine in Erie, PA

Active since December 15, 2005PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
232 W 25TH ST, ERIE, PA 16544(814) 452-7878(814) 452-7883 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2020, Oct 6, 2020 (2 updates tracked since 2020).

About James W Lane Md NPPES

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

JAMES W LANE MD (NPI 1215913843) is an individual family medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (MD044327E) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and is a graduate of Hahnemann University College Of Medicine (1987).

NPPES Registry Identity

NPI1215913843
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES W LANECredential: MD
Location Address232 W 25TH STErie, PA 16544-0002
Mailing Address232 W 25th StErie, PA 16544-0002 · (814) 452-7878 · Fax (814) 452-7883
Phone(814) 452-7878
Fax(814) 452-7883
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1987
Enumeration DateDecember 15, 2005
Last NPPES UpdateNovember 10, 20202 updates tracked since enumeration
NPPES CertifiedNovember 10, 2020
✔ NPI 1215913843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD044327E
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.
232 W 25TH ST, Erie, PA 16544
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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 and accepts Medicare assignment

James W Lane Md 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 ID1355240292
PECOS Enrollment IDI20040108000687
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.

Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
245 services36 patients
Removal of tissue from wound, each additional 20.0 sq cm 97598
This procedure involves the careful removal of damaged tissue from a wound, typically beyond an initial 20.0 sq cm. This is done to promote healing, prevent infection, and improve the function and appearance of the area surrounding the wound.
181 services11 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.
80 services37 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
76 services13 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.
28 services13 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.
25 services21 patients

Hospital Affiliations CMS Care Compare

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

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390009
Location232 West 25th StreetErie, PA 16544 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16544 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers24 claims473 services$7.12 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
3 suppliers70 claims1,527 services$0.90 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
3 suppliers49 claims1,141 services$1.92 avg. paid by Medicare
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252
DME-Medical/Surgical Supplies · category DA023N
1 supplier13 claims449 services$3.09 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
2 suppliers18 claims2,235 services$0.38 avg. paid by Medicare
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
3 suppliers20 claims20 services$12.31 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.

ANESTHESIA CONSULTANTS OF ERIE, INC.
Anesthesiology
232 W 25TH ST
ERIE, PA 16544
Erie County (814) 452-5000
PENN NORTH CENTERS FOR ADVANCED WOUND CARE PC
Surgery
232 W 25TH ST
ERIE, PA 16544
Erie County (814) 452-7878
SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE
Obstetrics & Gynecology
232 W 25TH ST
ERIE, PA 16544
Erie County (814) 452-5000
MS. TERI L. PROPST CRNA
Nurse Anesthetist, Certified Registered
232 W 25TH ST
ERIE, PA 16544
Erie County (814) 452-5000
PATHOLOGY ASSOCIATES OF ERIE INC
Pathology (Clinical Pathology/Laboratory Medicine)
232 W 25TH ST
ERIE, PA 16544
Erie County (814) 288-8325
MARY MCLAUGHLIN
Nurse Anesthetist, Certified Registered
232 W 25TH ST, 7TH FLOOR
ERIE, PA 16544
Erie County (814) 452-5000
DR. TIMOTHY CHESLOCK DO
Emergency Medicine
232 W 25TH ST
ERIE, PA 16544
Erie County (814) 734-1618
MS. TANYA M GORE PHARMD
Pharmacist
232 W 25TH ST
ERIE, PA 16544
Erie County (814) 452-5439

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 Lane's NPI number?

The NPI number for James Lane is 1215913843. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is James Lane located?

James Lane practices at 232 W 25th St, Erie, PA 16544. The listed phone number is (814) 452-7878.

What is James Lane's specialty?

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

Is James Lane enrolled in Medicare?

Yes. James 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.

Is James Lane affiliated with any hospitals?

According to CMS data, James Lane is affiliated with Saint Vincent Hospital.

When was this NPI record last updated?

The NPPES record for James Lane was last updated on November 10, 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.