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JAMES L MEDINA MD
NPI 1811974108
Emergency Medicine in Lancaster, PA

Active since December 28, 2005PECOS Enrolled
555 NORTH DUKE ST, LANCASTER, PA 17604(717) 544-4978(717) 544-7043 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James L Medina Md NPPES

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

JAMES L MEDINA MD (NPI 1811974108) is an individual emergency medicine provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD418279) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811974108
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES L MEDINACredential: MD
Location Address555 NORTH DUKE STLancaster, PA 17604
Mailing AddressPo Box 3012Wilmington, DE 19804 · (800) 456-4629 · Fax (302) 224-2848
Phone(717) 544-4978
Fax(717) 544-7043
Sole ProprietorNo
Enumeration DateDecember 28, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1811974108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · MD418279
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
555 NORTH DUKE ST, Lancaster, PA 17604
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Other Identifiers 1

Medicaid0019652410001PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James L Medina Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 James Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lancaster Emergency Associates Ltd
Same address
Emergency Medicine
555 N DUKE ST
Lancaster, PA 17602
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 39 clinicians in this Medicare group
NPI 1740268184 (717) 544-4978

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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
486 services475 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
155 services153 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
97 services97 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
81 services79 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17604 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

HARRY E KINTZI MD
Emergency Medicine
555 NORTH DUKE ST
LANCASTER, PA 17604
Lancaster County (717) 544-4978
JOHN E PLASTINO MD
Emergency Medicine
555 NORTH DUKE ST
LANCASTER, PA 17604
Lancaster County (717) 544-4978
WILLIAM H ADAMS MD
Emergency Medicine
555 NORTH DUKE ST
LANCASTER, PA 17604
Lancaster County (717) 544-4978

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 James Medina's NPI number?

The NPI number for James Medina is 1811974108. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is James Medina located?

James Medina practices at 555 North Duke St, Lancaster, PA 17604. The listed phone number is (717) 544-4978.

What is James Medina's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Medina enrolled in Medicare?

Yes. James Medina is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Medina reassigns Medicare benefits to Lancaster Emergency Associates Ltd (Lancaster, PA). 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 James Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Medina was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.