LISA A. LANE M.D.
NPI 1699760819
Family Medicine in Avilla, IN

Q: What is Lisa Lane's NPI number?

The NPI number for Lisa Lane is 1699760819. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Q: What is Lisa Lane's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Lane was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since September 14, 2005PECOS EnrolledAccepts Medicare Assignment

81.23/100

CMS Quality Rating

104 NICHOLAS PL, AVILLA, IN 46710(260) 897-3308 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2026, Oct 7, 2022, Apr 21, 2021 (3 updates tracked since 2021).

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About Lisa A. Lane M.d. NPPES

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

LISA A. LANE M.D. (NPI 1699760819) is an individual family medicine provider in Avilla, Indiana, licensed in Indiana (01046721) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Wright State University Boonshoft School Of Medicine (1994).

NPPES Registry Identity

NPI1699760819

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameLISA A. LANECredential: M.D.

Location Address104 NICHOLAS PLAvilla, IN 46710-0069

Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701

Phone(260) 897-3308

Sole ProprietorYes

Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1994

Enumeration DateSeptember 14, 2005

Last NPPES UpdateJanuary 20, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2026

✔ NPI 1699760819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01046721

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.

104 NICHOLAS PL, Avilla, IN 46710

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Other Identifiers 4

Medicaid200179590AIN

Other000000570556IN · Anthem

OtherP00354178IN · Railroad Medicare

Other000000364996IN · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Lisa A. Lane 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 ID4183641673

PECOS Enrollment IDI20051024000945

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 7

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 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.

390 services179 patients

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.

67 services50 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

62 services61 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

57 services56 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

35 services12 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

31 services22 patients

Hospital Affiliations CMS Care Compare 5

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150021

Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County

Emergency services Birthing friendly

Parkview Dekalb Hospital

Acute Care Hospitals · Auburn, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number150045

Location1316 E Seventh StAuburn, IN 46706 · De Kalb County

Emergency services Birthing friendly

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150101

Location1260 E Sr 205Columbia City, IN 46725 · Whitley County

Emergency services Birthing friendly

Parkview Noble Hospital

Acute Care Hospitals · Kendallville, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150146

Location401 Sawyer RdKendallville, IN 46755 · Noble County

Emergency services Birthing friendly

Parkview Lagrange Hospital

Critical Access Hospitals · Lagrange, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number151323

Location207 N Townline RdLagrange, IN 46761 · Lagrange County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46710 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

81.23/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.95

Promoting Interoperability

100

Improvement Activities

Cost

68.49

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

13 suppliers59 claims155 services$6.09 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers11 claims13 services$1.09 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$21.28 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$8.52 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier23 claims23 services$119.34 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$38.23 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 6

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

MYCAL L MANSFIELD MD

Family Medicine