WILLIAM JAY LAWTON II M.D.
NPI 1679776561
Internal Medicine - Gastroenterology in Lincoln, NE

Active since June 07, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4545 R ST STE 100, GASTROENTEROLOGY SPECIALTIES P.C., LINCOLN, NE 68503(402) 465-4545(402) 465-9011 Get Directions Write a Review

NPPES record last updated: September 30, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About William Jay Lawton Ii M.d. NPPES

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

WILLIAM JAY LAWTON II M.D. (NPI 1679776561) is an individual gastroenterology provider in Lincoln, Nebraska, licensed in Nebraska (24360) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of University Of Nebraska College Of Medicine (2005).

NPPES Registry Identity

NPI1679776561
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameWILLIAM JAY LAWTON IICredential: M.D.
Location Address4545 R ST STE 100, GASTROENTEROLOGY SPECIALTIES P.C.Lincoln, NE 68503-3799
Mailing Address4545 R St Ste 100, Gastroenterology Specialties P.c.Lincoln, NE 68503-3799 · (402) 465-4545 · Fax (402) 465-9011
Fax(402) 465-9011
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2005
Enumeration DateJune 7, 2007
Last NPPES UpdateSeptember 30, 2014
NPI 1679776561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NE · 24360
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
4545 R ST STE 100, Lincoln, NE 68503

Other Identifiers 1

Medicare PIN097850009NE

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

William Jay Lawton Ii 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 ID6406010883
PECOS Enrollment IDI20120614000804
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 16

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.

Injection, vedolizumab, intravenous, 1 mg J3380
Vedolizumab is a medication given via injection. It's used to treat certain bowel conditions (such as Crohn's disease, ulcerative colitis) by reducing inflammation. It works by blocking a certain protein that causes this inflammation.
8,100 services25 patients
Injection, infliximab, excludes biosimilar, 10 mg J1745
Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.
1,880 services22 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
211 services210 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
85 services81 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
50 services34 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
47 services47 patients

Hospital Affiliations CMS Care Compare 5

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

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Chi Health St. Elizabeth

Acute Care Hospitals · Lincoln, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280020
Location555 South 70th StLincoln, NE 68510 · Lancaster County
Emergency services Birthing friendly

York General Hospital

Critical Access Hospitals · York, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number281336
Location2222 N Lincoln AveYork, NE 68467 · York County
Emergency services

Crete Area Medical Center

Critical Access Hospitals · Crete, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281354
LocationP O Box 220, 2910 Betten DrCrete, NE 68333 · Saline County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68503 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Physician Assistant
4545 R ST STE 100
LINCOLN, NE 68503
Internal Medicine (Gastroenterology)
4545 R ST STE 100
LINCOLN, NE 68503
Internal Medicine (Gastroenterology)
4545 R ST STE 100
LINCOLN, NE 68503
Nurse Practitioner (Family)
4545 R ST STE 100
LINCOLN, NE 68503
Internal Medicine (Gastroenterology)
4545 R ST STE 100
LINCOLN, NE 68503
Internal Medicine (Gastroenterology)
4545 R ST STE 100
LINCOLN, NE 68503

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 William Lawton's NPI number?

The NPI number for William Lawton is 1679776561. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Where is William Lawton located?

William Lawton practices at 4545 R St Ste 100 Gastroenterology Specialties P.C., Lincoln, NE 68503. The listed phone number is (402) 465-4545.

What is William Lawton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is William Lawton enrolled in Medicare?

Yes. William Lawton 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 William Lawton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list William Lawton 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 William Lawton affiliated with any hospitals?

According to CMS data, William Lawton is affiliated with Bryan Medical Center, The Nebraska Medical Center, Chi Health St. Elizabeth, York General Hospital and Crete Area Medical Center.

When was this NPI record last updated?

The NPPES record for William Lawton was last updated on September 30, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.