JAMES W LUST P.A.-C
NPI 1831116466
Physician Assistant in Dover, DE

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
1095 S BRADFORD ST, DOVER, DE 19904(302) 678-8100 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 31, 2023, Jan 29, 2021, May 8, 2020 (3 updates tracked since 2020).

About James W Lust P.a.-c NPPES

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

JAMES W LUST P.A.-C (NPI 1831116466) is an individual physician assistant in Dover, Delaware, licensed in Delaware (C5-0000141) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1831116466
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJAMES W LUSTCredential: P.A.-C
Location Address1095 S BRADFORD STDover, DE 19904-4141
Mailing Address1095 S Bradford StDover, DE 19904-4141 · (302) 678-8100
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJuly 17, 2006
Last NPPES UpdateOctober 31, 20233 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
NPI 1831116466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in DE · C5-0000141
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1095 S BRADFORD ST, Dover, DE 19904

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

James W Lust P.a.-c 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 ID3274433867
PECOS Enrollment IDI20040110000172
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.
600 services286 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
134 services39 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
75 services75 patients
Injection of drug or substance into vein 96374
This procedure involves introducing a medication or substance directly into your vein using a syringe. It's a quick and efficient way to deliver treatment throughout your body. You might feel a small prick when the needle enters. It's generally safe and effective.
71 services40 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.
44 services39 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.
42 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19904 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers66 claims66 services$38.98 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers46 claims46 services$92.83 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers49 claims134 services$32.07 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers20 claims116 services$18.27 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers27 claims159 services$15.28 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers51 claims51 services$57.49 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 9

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

Clinic/Center (Federally Qualified Health Center (FQHC))
1095 S BRADFORD ST
DOVER, DE 19904
Clinic/Center (Federally Qualified Health Center (FQHC))
1095 S BRADFORD ST
DOVER, DE 19904
Social Worker (Clinical)
1095 S BRADFORD ST
DOVER, DE 19904
Psychiatry & Neurology (Neurology)
1095 S BRADFORD ST
DOVER, DE 19904
Psychiatry & Neurology (Neurology)
1095 S BRADFORD ST
DOVER, DE 19904
Nurse Practitioner (Family)
1095 S BRADFORD ST
DOVER, DE 19904
Psychiatry & Neurology (Neurology)
1095 S BRADFORD ST
DOVER, DE 19904
Dentist
1095 S BRADFORD ST
DOVER, DE 19904

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 Lust's NPI number?

The NPI number for James Lust is 1831116466. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is James Lust located?

James Lust practices at 1095 S Bradford St, Dover, DE 19904. The listed phone number is (302) 678-8100.

What is James Lust's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is James Lust enrolled in Medicare?

Yes. James Lust 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.

When was this NPI record last updated?

The NPPES record for James Lust was last updated on October 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.