LORI LYNN SINCLAIR M.D.
NPI 1336375211
Pathology - Anatomic Pathology & Clinical Pathology in Waterloo, IA

Q: What is Lori Sinclair's NPI number?

The NPI number for Lori Sinclair is 1336375211. It was assigned to this individual provider in the NPPES registry on June 4, 2009. The provider is also known as Lori Lynn Kuennen MD.

Q: What is Lori Sinclair's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Lori Sinclair was last updated on March 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 04, 2009PECOS EnrolledAccepts Medicare Assignment

92.85/100

CMS Quality Rating

3421 W 9TH ST, WATERLOO, IA 50702(319) 272-8000(319) 272-8850 Get Directions Write a Review

NPPES record last updated: March 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Lori Lynn Sinclair M.d. NPPES

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

LORI LYNN SINCLAIR M.D. (NPI 1336375211) is an individual anatomic pathology & clinical pathology provider in Waterloo, Iowa, licensed in Iowa (40779) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Marshalltown, and maintains a secondary practice location in Spencer.

NPPES Registry Identity

NPI1336375211

Entity TypeIndividualFemale

Primary Taxonomy207ZP0102X

Provider Legal NameLORI LYNN SINCLAIRCredential: M.D.

Location Address3421 W 9TH STWaterloo, IA 50702-5401

Mailing Address3421 W 9th StWaterloo, IA 50702-5401 · (319) 272-8000 · Fax (319) 272-8850

Phone(319) 272-8000

Fax(319) 272-8850

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2009

Enumeration DateJune 4, 2009

Last NPPES UpdateMarch 21, 2018

✔ NPI 1336375211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in IA · 40779✔ Licensed in IA · R-8681

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X · License 40779 (IA)

3421 W 9TH ST, Waterloo, IA 50702

Open in Google Maps ↗

Other Names 1

Former Name (1)Lori Lynn Kuennen Md

Secondary Practice Location 1

Location 1116 E 11th St Ste 204Spencer, IA 51301-4363 · Phone (712) 262-3795 · Fax (712) 262-3076

Other Identifiers 2

Other203758IA · Ucare

Medicaid1336375211MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Lori Lynn Sinclair 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 ID8123261112

PECOS Enrollment IDI20131029001625

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 20

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

1,310 services699 patients

Cell examination of specimen, concentration technique 88108

Cell examination of a specimen using a concentration technique is a lab process that enhances the detection of cells in a sample. This method helps to focus on key areas of the sample, making it easier to spot abnormalities or changes. It's a crucial part of diagnosing and monitoring certain health conditions.

283 services231 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

200 services167 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

173 services124 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

172 services73 patients

Microscopic genetic analysis of tumor, using computer-assisted technology 88361

Microscopic genetic analysis of a tumor uses advanced computer technology to examine the genetic makeup of the tumor cells. This helps to understand the tumor better and tailor a treatment plan. It's a non-invasive procedure and provides valuable insights for your healthcare team.

166 services41 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

126 services97 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

108 services101 patients

Evaluation of fine needle aspirate 88172

Evaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).

103 services67 patients

Pathology cytologic examination of specimen during surgery, initial site 88333

A pathology cytologic examination during surgery involves taking a small sample of cells from the initial site of concern. This sample is then examined under a microscope by a pathologist to check for any abnormal or disease-causing cells. This helps guide the ongoing surgical procedure.

56 services51 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

50 services14 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

48 services38 patients

Examination of archival tissue for genetic analysis 88363

Examination of archival tissue for genetic analysis involves studying previously collected tissue samples. This process helps detect any genetic alterations that may be linked to certain diseases. It's a crucial step in understanding your health and planning appropriate treatments.

44 services44 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

39 services39 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

31 services21 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

29 services12 patients

Protein measurement, serum 84165

A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.

28 services28 patients

Pathology examination of tissue using a microscope, high complexity 88309

A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.

19 services19 patients

Immunologic analysis technique on serum (immunofixation) 86334

Immunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.

13 services12 patients

X-ray of surgical specimen 76098

An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.

12 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Unitypoint Health - Marshalltown

Acute Care Hospitals · Marshalltown, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number160001

Location55 Unitypoint WayMarshalltown, IA 50158 · Marshall County

Emergency services

Mercyone Waterloo Medical Center

Acute Care Hospitals · Waterloo, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number160067

Location3421 West Ninth StreetWaterloo, IA 50702 · Black Hawk County

Emergency services Birthing friendly

Allen Hospital

Acute Care Hospitals · Waterloo, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160110

Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County

Emergency services Birthing friendly

Grundy County Memorial Hospital

Critical Access Hospitals · Grundy Center, IA

OwnershipVoluntary non-profit - Other

CMS Certification Number161303

Location201 East J AvenueGrundy Center, IA 50638 · Grundy County

Emergency services

Waverly Health Center

Critical Access Hospitals · Waverly, IA

OwnershipGovernment - Local

CMS Certification Number161339

Location312 9th Street SWWaverly, IA 50677 · Bremer County

Emergency services Birthing friendly

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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

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.

92.85/100

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

Scored as part of a group practice

Quality

85.71

Improvement Activities

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.

PAUL FRANKE M.D.

Internal Medicine

3421 W 9TH ST
WATERLOO, IA 50702

Black Hawk County (319) 272-5655

DR. MICHELLE NICOLE KOMPARE MD

Pediatrics (Neonatal-Perinatal Medicine)

3421 W 9TH ST
WATERLOO, IA 50702

Black Hawk County (319) 272-8000

MARCIA A RELLIHAN D.O.

Nurse Practitioner (Obstetrics & Gynecology)

3421 W 9TH ST, SUITE G4500
WATERLOO, IA 50702

Black Hawk County (319) 233-8865

KRISTA RAE MILLER CNM

Advanced Practice Midwife

3421 W 9TH ST
WATERLOO, IA 50702

Black Hawk County (319) 272-8000

MARY A STEFFENSMEIER

Dietitian, Registered (Nutrition, Sports Dietetics)

3421 W 9TH ST
WATERLOO, IA 50702

Black Hawk County (319) 272-5859

KEVIN J DIRKSEN ARNP

Nurse Practitioner (Acute Care)

3421 W 9TH ST
WATERLOO, IA 50702

Black Hawk County (757) 561-4487

DR. RACHELLE ALEXANDRA MAKINDE MD

Anesthesiology

3421 W 9TH ST
WATERLOO, IA 50702

Black Hawk County (319) 272-5000

LEVI EDWARD ANDREWS DPM

Podiatrist

3421 W 9TH ST
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 Lori Sinclair's NPI number?

The NPI number for Lori Sinclair is 1336375211. It was assigned to this individual provider in the NPPES registry on June 4, 2009. The provider is also known as Lori Lynn Kuennen MD.

Where is Lori Sinclair located?

Lori Sinclair practices at 3421 W 9th St, Waterloo, IA 50702. The listed phone number is (319) 272-8000.

What is Lori Sinclair's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Lori Sinclair enrolled in Medicare?

Yes. Lori Sinclair 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 Lori Sinclair accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Lori Sinclair 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 Lori Sinclair affiliated with any hospitals?

According to CMS data, Lori Sinclair is affiliated with Unitypoint Health - Marshalltown, Mercyone Waterloo Medical Center, Allen Hospital, Grundy County Memorial Hospital and Waverly Health Center.

When was this NPI record last updated?

The NPPES record for Lori Sinclair was last updated on March 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.