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

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: October 25, 2026.

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

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 Community Memorial Hospital Medical Center, 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 Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, 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

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.

Medicare Billing Reassignments

10

Medicare enrollment records show Danny Lewis reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sumner Community Club
29 mi
Critical Access
909 W 1ST ST
Sumner, IA 50674
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1366442295 (Iowa)
  • 46 clinicians in this Medicare group
NPI 1780684548 (563) 578-3275
Knoxville Community Hospital Inc
89 mi
Family Medicine
1202 W HOWARD ST
Knoxville, IA 50138
  • Reassigned Medicare billing, Iowa enrollment
  • 156 clinicians in this Medicare group
NPI 1578570677 (641) 828-7211
Humboldt County Memorial Hospital
97 mi
Emergency Medicine
1000 15TH ST N
Humboldt, IA 50548
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1194702977 (Iowa)
  • 42 clinicians in this Medicare group
NPI 1043395247 (515) 332-4200
Mercy Medical Center-Centerville
101 mi
Multi-Specialty
522 N HANCOCK ST
Ottumwa, IA 52501
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1356391635 (Iowa)
  • 57 clinicians in this Medicare group
NPI 1093360679 (641) 683-0800
Monroe County Hospital
101 mi
Rural Health
6582 165TH ST
Albia, IA 52531
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1205895299 (Iowa)
  • 52 clinicians in this Medicare group
NPI 1245469378 (641) 932-7172
Davis County Hospital
119 mi
Specialist
509 N MADISON ST
Bloomfield, IA 52537
  • Reassigned Medicare billing, Iowa enrollment
  • 70 clinicians in this Medicare group
NPI 1487740486 (641) 664-2145
Crawford County Memorial Hospital
156 mi
Emergency Care
2020 1ST AVE S
Denison, IA 51442
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1578555116 (Iowa)
  • 29 clinicians in this Medicare group
NPI 1619969086 (712) 263-5021
Shelby County Chris A Myrtue Memorial Hospital
163 mi
Critical Access
1213 GARFIELD AVE
Harlan, IA 51537
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1831717552 (Iowa)
  • 70 clinicians in this Medicare group
NPI 1598871469 (712) 755-5161
St. Joseph's Area Health Services
335 mi
Critical Access
600 PLEASANT AVE S
Park Rapids, MN 56470
  • Reassigned Medicare billing, Minnesota enrollment
  • 80 clinicians in this Medicare group
NPI 1023086055 (218) 732-3311
Lifecare Medical Center
470 mi
Critical Access
715 DELMORE DR
Roseau, MN 56751
  • Reassigned Medicare billing, Minnesota enrollment
  • 89 clinicians in this Medicare group
NPI 1609861095 (218) 463-2500

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

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 5

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

Community Memorial Hospital Medical Center

Critical Access Hospitals · Sumner, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161320
Location909 West First StreetSumner, IA 50674 · Bremer County
Emergency services

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
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

KURTIS ALAN LUCAS MD
Family Medicine
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702
Black Hawk County (319) 272-2112
SHAMIM S KHAN MD
Family Medicine
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702
Black Hawk County (319) 272-2112
STEPHANIE A GRZYBEK L.I.S.W
Social Worker (Clinical)
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702
Black Hawk County (319) 272-2112
MS. MARY MARGARET HEATLEY PA-C
Physician Assistant
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702
Black Hawk County (319) 272-2112
CINDY L HUWE MD
Family Medicine
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702
Black Hawk County (319) 272-2112
MOHAMMED GHANIM MD
Family Medicine
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702
Black Hawk County (319) 272-2529
DR. PRACHI MEHMI MD
Family Medicine
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702
Black Hawk County (319) 272-2112
D PIERRE GINGERICH-BOBERG, MD MD
Family Medicine
2055 KIMBALL AVE STE 101
WATERLOO, IA 50702
Black Hawk County (319) 272-2112

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 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.

Where is Danny Lewis located?

Danny Lewis practices at 2055 Kimball Ave Ste 101, Waterloo, IA 50702. The listed phone number is (319) 272-2112.

What is Danny Lewis's specialty?

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

Is Danny Lewis enrolled in Medicare?

Yes. Danny Lewis 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 Danny Lewis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danny Lewis reassigns Medicare benefits to 10 organizations: Sumner Community Club (Sumner, IA), Knoxville Community Hospital Inc (Knoxville, IA), Humboldt County Memorial Hospital (Humboldt, IA), Mercy Medical Center-Centerville (Ottumwa, IA), Monroe County Hospital (Albia, IA) and 5 more organizations, listed in the Medicare section above. 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 Danny Lewis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Danny Lewis accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 2 other insurers list Danny Lewis 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.

Is Danny Lewis affiliated with any hospitals?

According to CMS data, Danny Lewis is affiliated with Community Memorial Hospital Medical Center, Humboldt County Memorial Hospital, Crawford County Memorial Hospital, Winnmed and Mercyone Centerville Medical Center.

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.