PAUL J LAPPINGA MD
NPI 1508870544
Pathology - Anatomic Pathology & Clinical Pathology in Bemidji, MN

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
82.64/100
CMS Quality Rating
1300 ANNE ST NW, BEMIDJI, MN 56601(218) 333-4813 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul J Lappinga Md NPPES

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

PAUL J LAPPINGA MD (NPI 1508870544) is an individual anatomic pathology & clinical pathology provider in Bemidji, Minnesota, licensed in North Dakota (11478) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and maintains a secondary practice location in Fargo.

NPPES Registry Identity

NPI1508870544
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NamePAUL J LAPPINGACredential: MD
Location Address1300 ANNE ST NWBemidji, MN 56601-5103
Mailing Address1300 Anne St NwBemidji, MN 56601-5103 · (218) 333-4813
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2003
Enumeration DateJuly 27, 2006
Last NPPES UpdateJune 22, 2021
NPPES CertifiedJune 22, 2021
NPI 1508870544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in ND · 11478
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 · CytopathologyTaxonomy 207ZC0500X · License 48675 (MN)
Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X · License 48675 (MN)
1300 ANNE ST NW, Bemidji, MN 56601

Secondary Practice Location 1

Location 1801 Broadway NFargo, ND 58102-3641 · Phone (701) 234-2401

Other Identifiers 4

Medicaid15192ND
MedicaidENROLLEDMN
MedicaidENROLLEDIA
Medicaid602688000MN

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

Paul J Lappinga 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 ID2567465529
PECOS Enrollment IDI20060811000027
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 10

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.
957 services519 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.
105 services36 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.
104 services91 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.
94 services58 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.
83 services64 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.
69 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Sanford Bemidji Medical Center

Acute Care Hospitals · Bemidji, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240100
Location1300 Anne St NWBemidji, MN 56601 · Beltrami County
Emergency services Birthing friendly

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56601 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

82.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.21
Promoting Interoperability99
Improvement Activities40
Cost51.14

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.

Physician Assistant
1300 ANNE ST NW
BEMIDJI, MN 56601
Physician Assistant
1300 ANNE ST NW
BEMIDJI, MN 56601
Nurse Anesthetist, Certified Registered
1300 ANNE ST NW
BEMIDJI, MN 56601
Emergency Medicine
1300 ANNE ST NW, SANFORD BEMIDJI MEDICAL CENTER
BEMIDJI, MN 56601
Obstetrics & Gynecology
1300 ANNE ST NW
BEMIDJI, MN 56601
Nurse Anesthetist, Certified Registered
1300 ANNE ST NW
BEMIDJI, MN 56601
Obstetrics & Gynecology (Obstetrics)
1300 ANNE ST NW
BEMIDJI, MN 56601
Hospitalist
1300 ANNE ST NW
BEMIDJI, MN 56601

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 Paul Lappinga's NPI number?

The NPI number for Paul Lappinga is 1508870544. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Paul Lappinga located?

Paul Lappinga practices at 1300 Anne St NW, Bemidji, MN 56601. The listed phone number is (218) 333-4813.

What is Paul Lappinga's specialty?

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

Is Paul Lappinga enrolled in Medicare?

Yes. Paul Lappinga 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 Paul Lappinga accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Paul Lappinga 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 Paul Lappinga affiliated with any hospitals?

According to CMS data, Paul Lappinga is affiliated with Sanford Bemidji Medical Center and Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Paul Lappinga was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.