DR. ELISHA LANCASTER MD
NPI 1316136567
Internal Medicine - Nephrology in Edgewood, KY

Active since October 23, 2007PECOS EnrolledAccepts Medicare Assignment
830 THOMAS MORE PARKWAY, STE 202, EDGEWOOD, KY 41017(513) 487-5303(513) 487-5317 Get Directions Write a Review

NPPES record last updated: July 16, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Elisha Lancaster Md NPPES

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

DR. ELISHA LANCASTER MD (NPI 1316136567) is an individual nephrology provider in Edgewood, Kentucky, licensed in Ohio (35.095429) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of University Of Louisville School Of Medicine (2007).

NPPES Registry Identity

NPI1316136567
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. ELISHA LANCASTERCredential: MD
Location Address830 THOMAS MORE PARKWAY, STE 202Edgewood, KY 41017
Mailing Address4600 Montgomery Road, Ste 105Cincinnati, OH 45212 · (513) 487-5305 · Fax (513) 487-5317
Fax(513) 487-5317
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2007
Enumeration DateOctober 23, 2007
Last NPPES UpdateJuly 16, 2012
NPI 1316136567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in OH · 35.095429 Licensed in KY · 45036
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
830 THOMAS MORE PARKWAY, Edgewood, KY 41017

Accepted 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

Dr. Elisha Lancaster 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 ID9638333073
PECOS Enrollment IDI20120614000261, I20120710000632, I20130830000805
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 12

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.
313 services116 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.
232 services117 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.
70 services63 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
66 services31 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
58 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
48 services45 patients

Hospital Affiliations CMS Care Compare 5

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360001
Location7500 State RoadCincinnati, OH 45255 · Hamilton County
Emergency services Birthing friendly

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Mercy Health - Clermont Hospital

Acute Care Hospitals · Batavia, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360236
Location3000 Hospital DriveBatavia, OH 45103 · Clermont County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers18 claims3,600 services$0.19 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers18 claims18 services$18.93 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

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

Nurse Practitioner (Adult Health)
830 THOMAS MORE PARKWAY, STE 202
EDGEWOOD, KY 41017

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 Elisha Lancaster's NPI number?

The NPI number for Elisha Lancaster is 1316136567. It was assigned to this individual provider in the NPPES registry on October 23, 2007.

Where is Elisha Lancaster located?

Elisha Lancaster practices at 830 Thomas More Parkway Ste 202, Edgewood, KY 41017. The listed phone number is (513) 487-5303.

What is Elisha Lancaster's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Elisha Lancaster enrolled in Medicare?

Yes. Elisha Lancaster 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.

What insurance does Elisha Lancaster accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 5 other insurers list Elisha Lancaster 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 Elisha Lancaster affiliated with any hospitals?

According to CMS data, Elisha Lancaster is affiliated with St Elizabeth Edgewood, Mercy Health-Anderson Hospital, Good Samaritan Hospital, Christ Hospital and Mercy Health - Clermont Hospital.

When was this NPI record last updated?

The NPPES record for Elisha Lancaster was last updated on July 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.