DR. LANA GAFTER M.D.
NPI 1376529552
Internal Medicine - Nephrology in Roseville, CA

Q: What is Lana Gafter's NPI number?

The NPI number for Lana Gafter is 1376529552. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Q: What is Lana Gafter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lana Gafter was last updated on December 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 December 19, 2005PECOS EnrolledAccepts Medicare Assignment

151 N SUNRISE AVE, SUITE 1205, ROSEVILLE, CA 95661(916) 789-1505(916) 789-1513 Get Directions Write a Review

NPPES record last updated: December 15, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Lana Gafter M.d. NPPES

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

DR. LANA GAFTER M.D. (NPI 1376529552) is an individual nephrology provider in Roseville, California, licensed in California (A92610) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and is a graduate of University Of California, Davis School Of Medicine (2004).

NPPES Registry Identity

NPI1376529552

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameDR. LANA GAFTERCredential: M.D.

Location Address151 N SUNRISE AVE, SUITE 1205Roseville, CA 95661-2924

Mailing Address151 N Sunrise Ave, Suite 1205Roseville, CA 95661-2924 · (916) 789-1505 · Fax (916) 789-1513

Phone(916) 789-1505

Fax(916) 789-1513

Sole ProprietorNo

Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2004

Enumeration DateDecember 19, 2005

Last NPPES UpdateDecember 15, 2014

✔ NPI 1376529552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in CA · A92610

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.

151 N SUNRISE AVE, Roseville, CA 95661

Open in Google Maps ↗

Other Identifiers 2

MedicaidGR0100970CA

OtherZZZ02094ZMedicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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. Lana Gafter 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 ID6103905344

PECOS Enrollment IDI20080429000986, I20250912003859

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

Medicare enrollment records show Lana Gafter reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Summit Nephrology Medical Group, Inc

0.2 mi

Nephrology

151 N SUNRISE AVE, STE. 1205
Roseville, CA 95661

Reassigned Medicare billing, California enrollment
11 clinicians in this Medicare group

NPI 1962575449 (916) 789-1505

Telehealth Specialty Medical Group

1.7 mi

Emergency Medicine

3400 DOUGLAS BLVD STE 225
Roseville, CA 95661

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Telemedicine Group PC
205 clinicians in this Medicare group

NPI 1326338237 (916) 740-3721

Signify Health Medical Associates Of California, PC

90 mi

General Practice

505 MONTGOMERY ST, FL 10 & 11
San Francisco, CA 94111

Reassigned Medicare billing, California enrollment
407 clinicians in this Medicare group

NPI 1124685169 (972) 715-3800

Pikeville Medical Center Inc.

2,089 mi

Clinic/Center

148 SUITE A, WHITESBURG PLAZA
Whitesburg, KY 41858

Reassigned Medicare billing, Kentucky enrollment
579 clinicians in this Medicare group

NPI 1801106281 (606) 218-3500

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 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.

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.

775 services428 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.

401 services122 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

145 services23 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.

144 services31 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

123 services31 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

108 services24 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.

79 services74 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

43 services42 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

42 services42 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

32 services14 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

30 services16 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

28 services11 patients

Hospital Affiliations CMS Care Compare

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

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180044

Location911 Bypass RoadPikeville, KY 41501 · Pike County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 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

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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 7

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

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503

Treatment-Chemotherapy · category RH002N

1 supplier23 claims5,520 services$1.22 avg. paid by Medicare

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers19 claims1,260 services$0.29 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers32 claims4,425 services$0.01 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers18 claims2,160 services$0.20 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers25 claims3,000 services$0.94 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

6 suppliers52 claims52 services$18.22 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.

JULIE E SEILER MS

Speech-Language Pathologist

151 N SUNRISE AVE, SUITE 1105
ROSEVILLE, CA 95661

Placer County (916) 771-8255

MRS. CHRISTIN HOPP BRACKETT M.S., CCC-SLP

Speech-Language Pathologist

151 N SUNRISE AVE, SUITE 1105
ROSEVILLE, CA 95661

Placer County (916) 771-8255

IKEA ZORIE ALEXANDRA CLARK DPT, PT

Physical Therapist

151 N SUNRISE AVE
ROSEVILLE, CA 95661

Placer County (916) 720-2067

EMILY HUNN M.S. SLP

Speech-Language Pathologist

151 N SUNRISE AVE, SUITE 1105
ROSEVILLE, CA 95661

Placer County (916) 771-8255

CAMPBELL DUKOVICH M.S.

Speech-Language Pathologist

151 N SUNRISE AVE, SUITE 1105
ROSEVILLE, CA 95661

Placer County (916) 771-8255

VALERIE HASKINS OTR/L

Occupational Therapist

151 N SUNRISE AVE, SUITE 1105
ROSEVILLE, CA 95661

Placer County (916) 771-8255

OWEN BRYN MARRON L.AC

Acupuncturist

151 N SUNRISE AVE, SUITE #1009
ROSEVILLE, CA 95661

Placer County (916) 742-4001

BEAU BIMSON MS

Occupational Therapist (Pediatrics)

151 N SUNRISE AVE, SUITE 1105
ROSEVILLE, CA 95661

Placer County (916) 771-8255

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 Lana Gafter's NPI number?

The NPI number for Lana Gafter is 1376529552. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Where is Lana Gafter located?

Lana Gafter practices at 151 N Sunrise Ave Suite 1205, Roseville, CA 95661. The listed phone number is (916) 789-1505.

What is Lana Gafter's specialty?

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

Is Lana Gafter enrolled in Medicare?

Yes. Lana Gafter 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 Lana Gafter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lana Gafter reassigns Medicare benefits to 4 organizations: Summit Nephrology Medical Group, Inc (Roseville, CA), Telehealth Specialty Medical Group (Roseville, CA), Signify Health Medical Associates Of California, PC (San Francisco, CA) and Pikeville Medical Center Inc. (Whitesburg, KY). 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 Lana Gafter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lana Gafter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Texas and 1 other insurer list Lana Gafter 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 Lana Gafter affiliated with any hospitals?

According to CMS data, Lana Gafter is affiliated with Pikeville Medical Center.

When was this NPI record last updated?

The NPPES record for Lana Gafter was last updated on December 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.