JOHN DAVID LUBAHN M.D.
NPI 1427071042
Orthopaedic Surgery - Hand Surgery in Erie, PA

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
83.7/100
CMS Quality Rating
300 STATE ST, SUITE 205, ERIE, PA 16507(814) 456-6022(814) 456-7040 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John David Lubahn M.d. NPPES

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

JOHN DAVID LUBAHN M.D. (NPI 1427071042) is an individual hand surgery provider in Erie, Pennsylvania, licensed in Pennsylvania (MD025337E) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1975).

NPPES Registry Identity

NPI1427071042
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameJOHN DAVID LUBAHNCredential: M.D.
Location Address300 STATE ST, SUITE 205Erie, PA 16507-1427
Mailing Address300 State St, Suite 205Erie, PA 16507-1427 · (814) 456-6022 · Fax (814) 456-7040
Fax(814) 456-7040
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1975
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1427071042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
Licenses Licensed in PA · MD025337E Licensed in NY · 1298001 Licensed in OH · 35050066
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
300 STATE ST, Erie, PA 16507

Other Identifiers 3

Medicare UPINB72432PA
Medicare ID-Type UnspecifiedLU412891PA
Medicaid0008161490001PA

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

John David Lubahn 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 ID9032268685
PECOS Enrollment IDI20090601000350
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 11

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 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.
130 services88 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.
102 services74 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
87 services31 patients
X-ray of wrist, 2 views 73100
An X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.
41 services25 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
33 services18 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
31 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390009
Location232 West 25th StreetErie, PA 16544 · Erie County
Emergency services Birthing friendly

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16507 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

83.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality80.19
Promoting Interoperability82
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%588 patients5/55-star benchmark: 100%
Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older
95%191 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
97%1,237 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 742 patients
Patients screened: 99% · 742 patients
94%117 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
65%494 patients2/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
98%85 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3906
DME-Orthotic Devices · category DF000N
1 supplier23 claims23 services$298.88 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
3 suppliers15 claims19 services$48.58 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3913
DME-Orthotic Devices · category DF000N
1 supplier22 claims23 services$183.56 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3923
DME-Orthotic Devices · category DF000N
1 supplier14 claims16 services$66.13 avg. paid by Medicare
Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment L3933
DME-Orthotic Devices · category DF000N
1 supplier24 claims26 services$145.78 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.

Specialist/Technologist (Athletic Trainer)
300 STATE ST, SUITE 106
ERIE, PA 16507
Surgery
300 STATE ST, SUITE 400A
ERIE, PA 16507
Physician Assistant
300 STATE ST, #400A
ERIE, PA 16507
Urology
300 STATE ST, SUITE 301H
ERIE, PA 16507
Nurse Practitioner
300 STATE ST, SUITE 201
ERIE, PA 16507
Optometrist
300 STATE ST, SUITE 202
ERIE, PA 16507
Surgery
300 STATE ST, SUITE 400A
ERIE, PA 16507
Pediatrics
300 STATE ST, SUITE 301
ERIE, PA 16507

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 John Lubahn's NPI number?

The NPI number for John Lubahn is 1427071042. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is John Lubahn located?

John Lubahn practices at 300 State St Suite 205, Erie, PA 16507. The listed phone number is (814) 456-6022.

What is John Lubahn's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is John Lubahn enrolled in Medicare?

Yes. John Lubahn 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 John Lubahn accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list John Lubahn 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 John Lubahn affiliated with any hospitals?

According to CMS data, John Lubahn is affiliated with Saint Vincent Hospital and Upmc Hamot.

When was this NPI record last updated?

The NPPES record for John Lubahn was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.