DANNY LEWIS JR. MD
NPI 1235580366
Family Medicine in Waterloo, IA

Q: What is Danny Lewis's NPI number?

The NPI number for Danny Lewis is 1235580366. It was assigned to this individual provider in the NPPES registry on June 30, 2016.

Q: What is Danny Lewis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Danny Lewis was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 30, 2016PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

2055 KIMBALL AVE STE 101, WATERLOO, IA 50702(319) 272-2112(319) 272-2107 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2020, Jun 30, 2016 (2 updates tracked since 2016).

On this page

About Danny Lewis Jr. Md NPPES

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

DANNY LEWIS JR. MD (NPI 1235580366) is an individual family medicine provider in Waterloo, Iowa, licensed in Iowa (R10549) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Humboldt County Memorial Hospital, and is a graduate of University Of Minnesota Medical School (2016).

NPPES Registry Identity

NPI1235580366

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDANNY LEWIS JR.Credential: MD

Location Address2055 KIMBALL AVE STE 101Waterloo, IA 50702-5047

Mailing Address5024 Southfork LnWaterloo, IA 50701-9576 · (515) 664-9387

Phone(319) 272-2112

Fax(319) 272-2107

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2016

Enumeration DateJune 30, 2016

Last NPPES UpdateAugust 6, 20202 updates tracked since enumeration

NPPES CertifiedAugust 6, 2020

✔ NPI 1235580366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · R10549

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.

2055 KIMBALL AVE STE 101, Waterloo, IA 50702

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, Sanford Health Plan.Insurance ›

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

Danny Lewis Jr. 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 ID2668765132

PECOS Enrollment IDI20170914000602

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

60 services31 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

30 services28 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

25 services22 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

20 services17 patients

Nursing facility discharge day management, 30 minutes or less 99315

Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.

13 services13 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Humboldt County Memorial Hospital

Critical Access Hospitals · Humboldt, IA

OwnershipVoluntary non-profit - Other

CMS Certification Number161334

Location1000 North 15th StreetHumboldt, IA 50548 · Humboldt County

Emergency services

Crawford County Memorial Hospital

Critical Access Hospitals · Denison, IA

OwnershipGovernment - Local

CMS Certification Number161369

Location100 Medical ParkwayDenison, IA 51442 · Crawford County

Emergency services

Winnmed

Critical Access Hospitals · Decorah, IA

OwnershipGovernment - Local

CMS Certification Number161371

Location901 Montgomery StreetDecorah, IA 52101 · Winneshiek County

Emergency services

Mercyone Centerville Medical Center

Critical Access Hospitals · Centerville, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161377

LocationOne St Joseph's DriveCenterville, IA 52544 · Appanoose County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50702 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers30 claims36 services$5.66 avg. paid by Medicare

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

1 supplier11 claims11 services$17.98 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers12 claims12 services$117.12 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers11 claims24 services$38.58 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

6 suppliers14 claims14 services$24.63 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

4 suppliers19 claims19 services$20.99 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.

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