1. Home
  2. Directory
  3. New Jersey
  4. Westwood
  5. Psychiatry Neurology
  6. NPI Profile

LORRAINE LIRA M.D.
NPI 1649354119
Psychiatry & Neurology - Neurology in Westwood, NJ

Active since October 24, 2006PECOS EnrolledAccepts Medicare Assignment
76.86/100
CMS Quality Rating
99 KINDERKAMACK RD STE 307, WESTWOOD, NJ 07675(201) 261-6222(201) 261-4411 Get Directions Write a Review

NPPES record last updated: December 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lorraine Lira M.d. NPPES

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

LORRAINE LIRA M.D. (NPI 1649354119) is an individual neurology provider in Westwood, New Jersey, licensed in New Jersey (MA71262) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Holy Name Medical Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1649354119
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameLORRAINE LIRACredential: M.D.
Location Address99 KINDERKAMACK RD STE 307Westwood, NJ 07675-3021
Mailing Address680 Kinderkamack Rd, Suite 302Oradell, NJ 07649-1600 · (201) 261-6222 · Fax (201) 261-4411
Phone(201) 261-6222
Fax(201) 261-4411
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateOctober 24, 2006
Last NPPES UpdateDecember 17, 2018
✔ NPI 1649354119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NJ · MA71262
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
99 KINDERKAMACK RD STE 307, Westwood, NJ 07675
Open in Google Maps ↗

Other Identifiers 4

Other9059043-002Cigna
Medicaid8719209NJ
OtherP2533299Oxford
Other1K7882Healthnet

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Lorraine Lira 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 ID8820029895
PECOS Enrollment IDI20110318000014
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 Reassignment

Medicare enrollment records show Lorraine Lira reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Radiology Group Of New Jersey, LLC
42 mi
Multi-Specialty
651 WILLOW GROVE ST
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 429 clinicians in this Medicare group
NPI 1174010540 (908) 979-1621

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 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.
215 services126 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.
212 services134 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
62 services38 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.
62 services62 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
21 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Holy Name Medical Center

Acute Care Hospitals · Teaneck, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310008
Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County
Emergency services Birthing friendly

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Hackensack Meridian Health Pascack Valley Medical

Acute Care Hospitals · Westwood, NJ
4/5 CMS rating
OwnershipProprietary
CMS Certification Number310130
Location250 Old Hook RoadWestwood, NJ 07675 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07675 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

76.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality53.72
Improvement Activities40

Reported Quality Measures

Advance Care Plan
70%357 patients3/55-star benchmark: 100%
Controlling High Blood Pressure
92%605 patients4/55-star benchmark: 98%
Dementia Associated Behavioral and Psychiatric Symptoms Screening and Management
39%79 patients
Dementia: Functional Status Assessment
51%79 patients
Documentation of Current Medications in the Medical Record
98%1,559 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 654 patients
Patients screened: 97% · 654 patients
50%26 patients3/55-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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID DENNIS VAN SLOOTEN M.D.
Psychiatry & Neurology (Neurology)
99 KINDERKAMACK RD STE 307
WESTWOOD, NJ 07675
Bergen County (201) 261-6222
DR. PATRICIA GORMAN KLEIN MD
Psychiatry & Neurology (Neurology)
99 KINDERKAMACK RD STE 307
WESTWOOD, NJ 07675
Bergen County (201) 261-6222
DAVID D. VANSLOOTEN,M.D.,P.A.
Psychiatry & Neurology (Neurology)
99 KINDERKAMACK RD STE 307
WESTWOOD, NJ 07675
Bergen County (201) 261-6222

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 Lorraine Lira's NPI number?

The NPI number for Lorraine Lira is 1649354119. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Lorraine Lira located?

Lorraine Lira practices at 99 Kinderkamack Rd Ste 307, Westwood, NJ 07675. The listed phone number is (201) 261-6222.

What is Lorraine Lira's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Lorraine Lira enrolled in Medicare?

Yes. Lorraine Lira 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 organization bills Medicare for Lorraine Lira's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lorraine Lira reassigns Medicare benefits to The Radiology Group Of New Jersey, LLC (Hackettstown, NJ). The 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 Lorraine Lira's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lorraine Lira accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Lorraine Lira 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 Lorraine Lira affiliated with any hospitals?

According to CMS data, Lorraine Lira is affiliated with Holy Name Medical Center, Valley Hospital, Englewood Hospital And Medical Center and Hackensack Meridian Health Pascack Valley Medical.

When was this NPI record last updated?

The NPPES record for Lorraine Lira was last updated on December 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.