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DR. JAMES GREGORY LAVERY M.D.
NPI 1225561194
Family Medicine in Ashtabula, OH

Active since April 07, 2017PECOS EnrolledAccepts Medicare Assignment
2141 LAKE AVE, ASHTABULA, OH 44004(440) 443-0442(440) 755-8010 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2026, Oct 23, 2020 (2 updates tracked since 2020).

About Dr. James Gregory Lavery M.d. NPPES

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

DR. JAMES GREGORY LAVERY M.D. (NPI 1225561194) is an individual family medicine provider in Ashtabula, Ohio, licensed in Ohio (35.137506) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1225561194
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES GREGORY LAVERYCredential: M.D.
Location Address2141 LAKE AVEAshtabula, OH 44004-3435
Mailing Address29111 Cedar RdMayfield Heights, OH 44124-4005 · (440) 646-1600 · Fax (440) 646-1505
Phone(440) 443-0442
Fax(440) 755-8010
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 7, 2017
Last NPPES UpdateJanuary 5, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1225561194 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 · 35.137506
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 ListedDermatologyTaxonomy 207N00000X · License 35.137506 (OH)
2141 LAKE AVE, Ashtabula, OH 44004
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Gregory Lavery M.d. 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 ID7012371222
PECOS Enrollment IDI20260112002138
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 Reassignments

2

Medicare enrollment records show James Lavery reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Apex Dermatology And Skin Surgery Center, LLC
44 mi
Dermatology
29111 CEDAR RD
Mayfield Heights, OH 44124
  • Reassigned Medicare billing, Ohio enrollment
  • 35 clinicians in this Medicare group
NPI 1689973638 (440) 646-1600
Norton Sound Health Corporation
3,515 mi
Critical Access
1000 GREG KRUSCHEK AVE
Nome, AK 99762
  • Reassigned Medicare billing, Alaska enrollment
  • 193 clinicians in this Medicare group
NPI 1154358232 (907) 443-3311

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 44004 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 4

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

MRS. MELISSA ANNE VANCE FNP-BC, DCNP
Nurse Practitioner
2141 LAKE AVE
ASHTABULA, OH 44004
Ashtabula County (440) 443-0442
SEAN DOUGLAS DEELEY P.A.-C
Physician Assistant
2141 LAKE AVE
ASHTABULA, OH 44004
Ashtabula County (440) 443-0442
MS. SOPHIA ANNA THORMAN PA-C
Physician Assistant
2141 LAKE AVE
ASHTABULA, OH 44004
Ashtabula County (440) 443-0442
MRS. KRISTINA PETKOVIC C.N.P.
Nurse Practitioner
2141 LAKE AVE
ASHTABULA, OH 44004
Ashtabula County (440) 696-7546

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 Lavery's NPI number?

The NPI number for James Lavery is 1225561194. It was assigned to this individual provider in the NPPES registry on April 7, 2017.

Where is James Lavery located?

James Lavery practices at 2141 Lake Ave, Ashtabula, OH 44004. The listed phone number is (440) 443-0442.

What is James Lavery's specialty?

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

Is James Lavery enrolled in Medicare?

Yes. James Lavery 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.

Which organizations bill Medicare for James Lavery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Lavery reassigns Medicare benefits to 2 organizations: Apex Dermatology And Skin Surgery Center, LLC (Mayfield Heights, OH) and Norton Sound Health Corporation (Nome, AK). Each 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 James Lavery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Lavery accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and MedMutual and 1 other insurer list James Lavery 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 Lavery was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.