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THOMAS S. LEHNER M.D.
NPI 1477536258
Family Medicine in Cleveland, OH

Active since November 25, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1001 LAKESIDE AVE E, SUITE 1000, CLEVELAND, OH 44114(216) 420-9403(216) 420-9354 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 25, 2023, Oct 27, 2022 (2 updates tracked since 2022).

About Thomas S. Lehner M.d. NPPES

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

THOMAS S. LEHNER M.D. (NPI 1477536258) is an individual family medicine provider in Cleveland, Ohio, licensed in Ohio (35049143) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Wooster Community Hospital, and maintains a secondary practice location in Canton.

NPPES Registry Identity

NPI1477536258
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS S. LEHNERCredential: M.D.
Location Address1001 LAKESIDE AVE E, SUITE 1000Cleveland, OH 44114-1158
Mailing Address2701 Star LnWadsworth, OH 44281-9546 · (330) 336-7100
Phone(216) 420-9403
Fax(216) 420-9354
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1982
Enumeration DateNovember 25, 2005
Last NPPES UpdateOctober 25, 20232 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1477536258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35049143
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.
1001 LAKESIDE AVE E, Cleveland, OH 44114
Open in Google Maps ↗

Secondary Practice Location 1

Location 14580 Stephens Cir NW Ste 202Canton, OH 44718-3645 · Phone (330) 754-4431 · Fax (330) 244-8839

Other Identifiers 1

Medicaid0540150OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual 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

Thomas S. Lehner 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 ID7618929175
PECOS Enrollment IDI20050214000381
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

6

Medicare enrollment records show Thomas Lehner reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lake Anna Primary Care
34 mi
Family Medicine
2701 STAR LN
Wadsworth, OH 44281
  • Reassigned Medicare billing, Ohio enrollment
NPI 1083897136 (216) 420-9403
Pinnacle Care Providers, LLC
52 mi
Internal Medicine
236 3RD ST SW
Canton, OH 44702
  • Reassigned Medicare billing, Ohio enrollment
  • 79 clinicians in this Medicare group
NPI 1578799417 (330) 754-4431
Skill Doc 101, LLC
52 mi
Internal Medicine
236 3RD ST SW
Canton, OH 44702
  • Reassigned Medicare billing, Ohio enrollment
  • 85 clinicians in this Medicare group
NPI 1043647803 (330) 754-4431
Pai Participant 1 LLC
163 mi
Geriatric Medicine
60 MARIETTA RD
Chillicothe, OH 45601
  • Reassigned Medicare billing, Ohio enrollment
  • 149 clinicians in this Medicare group
NPI 1093371312 (859) 291-4800
Eventus Wholehealth Midwest Inc
272 mi
Family Medicine
2100 MIDWAY ST # 3722
Columbus, IN 47201
  • Reassigned Medicare billing, Ohio enrollment
  • 98 clinicians in this Medicare group
NPI 1386252757 (260) 483-9081
Extended Care Specialists, Inc
292 mi
Adult Medicine
8398 MISSISSIPPI ST FL 2
Merrillville, IN 46410
  • Reassigned Medicare billing, Ohio enrollment
  • 134 clinicians in this Medicare group
NPI 1134146079 (855) 743-2247

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 5

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 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.
311 services75 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
92 services63 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.
77 services24 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
29 services20 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.
25 services23 patients

Hospital Affiliations CMS Care Compare

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

Wooster Community Hospital

Acute Care Hospitals · Wooster, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360036
Location1761 Beall AvenueWooster, OH 44691 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44114 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90
Improvement Activities40

Reported Quality Measures

Dementia Associated Behavioral and Psychiatric Symptoms Screening and Management
100%35 patients
Dementia: Functional Status Assessment
100%34 patients
Dementia: Safety Concern Screening and Follow-Up for Patients with Dementia
100%35 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%44 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
100%40 patients5/55-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

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 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.

MR. DALE EDWARD BATES MPAS PA-C
Physician Assistant (Medical)
1001 LAKESIDE AVE E, SUITE 1000
CLEVELAND, OH 44114
Cuyahoga County (440) 479-5349
MR. ANDREW JOSEPH STRAUB NP
Nurse Practitioner (Adult Health)
1001 LAKESIDE AVE E, SUITE 1000
CLEVELAND, OH 44114
Cuyahoga County (330) 714-7091
AUSTIN BRYANT
Nurse Practitioner (Family)
1001 LAKESIDE AVE E, SUITE 1000
CLEVELAND, OH 44114
Cuyahoga County (866) 649-4866
CHRISTINA SIMONE CLARK ACNP
Nurse Practitioner (Acute Care)
1001 LAKESIDE AVE E, SUITE 1000
CLEVELAND, OH 44114
Cuyahoga County (216) 217-3451
JENNIFER LOVE
Nurse Practitioner (Psychiatric/Mental Health)
1001 LAKESIDE AVE E
CLEVELAND, OH 44114
Cuyahoga County (330) 610-3486
DR. CHARLIE DESHAZER M.D.
Internal Medicine
1001 LAKESIDE AVE E, #1200
CLEVELAND, OH 44114
Cuyahoga County (216) 479-5541
MRS. AMY JO FLEMING-RADCA A-GNP-C
Nurse Practitioner
1001 LAKESIDE AVE E
CLEVELAND, OH 44114
Cuyahoga County (888) 888-8888
MICHAEL IAN DZIAT AGNP
Nurse Practitioner
1001 LAKESIDE AVE E, STE 1000
CLEVELAND, OH 44114
Cuyahoga County (440) 258-6072

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 Thomas Lehner's NPI number?

The NPI number for Thomas Lehner is 1477536258. It was assigned to this individual provider in the NPPES registry on November 25, 2005.

Where is Thomas Lehner located?

Thomas Lehner practices at 1001 Lakeside Ave E Suite 1000, Cleveland, OH 44114. The listed phone number is (216) 420-9403.

What is Thomas Lehner's specialty?

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

Is Thomas Lehner enrolled in Medicare?

Yes. Thomas Lehner 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 Thomas Lehner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Lehner reassigns Medicare benefits to 6 organizations: Lake Anna Primary Care (Wadsworth, OH), Pinnacle Care Providers, LLC (Canton, OH), Skill Doc 101, LLC (Canton, OH), Pai Participant 1 LLC (Chillicothe, OH), Eventus Wholehealth Midwest Inc (Columbus, IN) and 1 more organization, 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 Thomas Lehner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Lehner accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Thomas Lehner 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 Thomas Lehner affiliated with any hospitals?

According to CMS data, Thomas Lehner is affiliated with Wooster Community Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Lehner was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.