PAUL C LAFATA D.P.M.
NPI 1790785947
Podiatrist - Foot & Ankle Surgery in West Lawn, PA

Active since July 29, 2005PECOS EnrolledAccepts Medicare Assignment
97.37/100
CMS Quality Rating
25 STEVENS AVE, WEST LAWN, PA 19609(610) 678-4581(610) 678-8677 Get Directions Write a Review

NPPES record last updated: January 5, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul C Lafata D.p.m. NPPES

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

PAUL C LAFATA D.P.M. (NPI 1790785947) is an individual foot & ankle surgery provider in West Lawn, Pennsylvania, licensed in Pennsylvania (SC004661-L) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Kent State University College Of Podiatric Medicine (1999).

NPPES Registry Identity

NPI1790785947
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NamePAUL C LAFATACredential: D.P.M.
Location Address25 STEVENS AVEWest Lawn, PA 19609-1424
Mailing Address25 Stevens AveWest Lawn, PA 19609-1424 · (610) 678-4581 · Fax (610) 678-8677
Fax(610) 678-8677
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1999
Enumeration DateJuly 29, 2005
Last NPPES UpdateJanuary 5, 2010
NPI 1790785947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in PA · SC004661-L
25 STEVENS AVE, West Lawn, PA 19609

Other Identifiers 5

OtherP00203039PA · Palmetto Gba
Other50015444PA · Capital Blue Cross
Medicare UPINU94249PA
Medicare ID-Type Unspecified067839T35PA
Other1462377PA · Highmark Blue Shield

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 C Lafata D.p.m. 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 ID5799735957
PECOS Enrollment IDI20050421000336
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 18

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.

Trimming of fingernails or toenails 11719
Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.
695 services218 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
477 services229 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
317 services118 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
311 services117 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
308 services119 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
281 services124 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

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.

97.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality96.87
Promoting Interoperability97
Improvement Activities40

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
3%39 patients
Breast Cancer Screening
77%247 patients4/55-star benchmark: 93%
Cervical Cancer Screening
58%168 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
5%75 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
62%564 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
65%431 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
36%258 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
29%259 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
12%2,523 patients1/55-star benchmark: 100%
e-Prescribing
100%392 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
71%596 patients3/55-star benchmark: 100%
Functional Status Assessments for Heart Failure
0%33 patients
HIV Screening
18%459 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
41%1,018 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
58%691 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
1%983 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 84% · 620 patients
Patients screened: 86% · 620 patients
64%28 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
86%1,276 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
84%549 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 11% · 610 patients
Patients totalRate: 18% · 610 patients
19%610 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.

Podiatrist
25 STEVENS AVE
WEST LAWN, PA 19609
Podiatrist
25 STEVENS AVE
WEST LAWN, PA 19609
Durable Medical Equipment & Medical Supplies
25 STEVENS AVE
WEST LAWN, PA 19609

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 Lafata's NPI number?

The NPI number for Paul Lafata is 1790785947. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Where is Paul Lafata located?

Paul Lafata practices at 25 Stevens Ave, West Lawn, PA 19609. The listed phone number is (610) 678-4581.

What is Paul Lafata's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Paul Lafata enrolled in Medicare?

Yes. Paul Lafata 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.

Is Paul Lafata affiliated with any hospitals?

According to CMS data, Paul Lafata is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Paul Lafata was last updated on January 5, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.