DR. STEPHEN K LANE MD
NPI 1871584094
Family Medicine in Scituate, MA

Active since November 04, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 22D1025555 · Waiver
58.63/100
CMS Quality Rating
56 NEW DRIFTWAY, SUITE 301, SCITUATE, MA 02066(781) 544-1388(781) 544-3396 Get Directions Write a Review

NPPES record last updated: July 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stephen K Lane Md NPPES

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

DR. STEPHEN K LANE MD (NPI 1871584094) is an individual family medicine provider in Scituate, Massachusetts, licensed in Massachusetts (203507) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through May 10, 2028, and is affiliated with Beth Israel Deaconess Hospital Plymouth.

NPPES Registry Identity

NPI1871584094
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. STEPHEN K LANECredential: MD
Location Address56 NEW DRIFTWAY, SUITE 301Scituate, MA 02066-4533
Mailing Address56 New Driftway, Suite 301Scituate, MA 02066-4533 · (781) 544-1388 · Fax (781) 544-3396
Fax(781) 544-3396
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1998
Enumeration DateNovember 4, 2005
Last NPPES UpdateJuly 19, 2010
NPI 1871584094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MA · 203507
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.
56 NEW DRIFTWAY, Scituate, MA 02066

Other Identifiers 8

Medicare UPINH39833
Other2459036Cigna
Medicare ID-Type UnspecifiedA32525MA
Medicaid0127311MA
Other0103663United
Other203507Tufts
Other710899MA · Hphc
OtherJ23581MA · Bcbs

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

Dr. Stephen K Lane Md 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 ID5092788315
PECOS Enrollment IDI20040816000742
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D1025555

Stephen K Lane MD · Scituate, MA
Active · expires May 10, 2028
CLIA Number22D1025555
Laboratory TypePhysician Office
Certificate Effective DateMay 11, 2026
Certificate Expiration DateMay 10, 2028
Laboratory DirectorStephen K. Lane
Laboratory Phone(781) 544-1388
Laboratory LocationStephen K Lane MD56 New Driftway Suite 203, Scituate, MA 02066
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

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.
1,186 services393 patients
Injection, triamcinolone acetonide, preservative free, 1 mg J3300
Triamcinolone acetonide is a medication given through injection to reduce inflammation in various parts of the body. It's a steroid that helps alleviate symptoms like swelling, redness, and pain. This specific injection is preservative-free.
1,084 services23 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.
713 services306 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
212 services198 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
182 services182 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.
177 services174 patients

Hospital Affiliations CMS Care Compare 3

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

Beth Israel Deaconess Hospital Plymouth

Acute Care Hospitals · Plymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220060
Location275 Sandwich StreetPlymouth, MA 02360 · Plymouth County
Emergency services Birthing friendly

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02066 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

58.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality58.06
Improvement Activities40
Cost38.99

Reported Quality Measures

Breast Cancer Screening
4%327 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
15%1,808 patients1/55-star benchmark: 100%
Controlling High Blood Pressure
64%688 patients3/55-star benchmark: 98%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
36%103 patients3/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
1%5,013 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
50%1,324 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 3% · 1,480 patients
Patients screened: 4% · 1,480 patients
41%27 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
88%176 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 11

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
10 suppliers20 claims64 services$5.28 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers21 claims21 services$33.94 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers12 claims70 services$15.01 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers13 claims75 services$12.57 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
7 suppliers31 claims31 services$45.61 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers27 claims27 services$15.08 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 20

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

Physical Therapist
56 NEW DRIFTWAY
SCITUATE, MA 02066
Physical Therapist
56 NEW DRIFTWAY
SCITUATE, MA 02066
Family Medicine
56 NEW DRIFTWAY
SCITUATE, MA 02066
Dentist (General Practice)
56 NEW DRIFTWAY, SUITE 205
SCITUATE, MA 02066
Nurse Practitioner
56 NEW DRIFTWAY
SCITUATE, MA 02066
Dentist (General Practice)
56 NEW DRIFTWAY
SCITUATE, MA 02066
Advanced Practice Midwife
56 NEW DRIFTWAY
SCITUATE, MA 02066
Dentist (General Practice)
56 NEW DRIFTWAY, SUITE 205
SCITUATE, MA 02066

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 Stephen Lane's NPI number?

The NPI number for Stephen Lane is 1871584094. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Stephen Lane located?

Stephen Lane practices at 56 New Driftway Suite 301, Scituate, MA 02066. The listed phone number is (781) 544-1388.

What is Stephen Lane's specialty?

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

Is Stephen Lane enrolled in Medicare?

Yes. Stephen Lane 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.

Does Stephen Lane hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D1025555) is associated with this NPI, valid through May 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Stephen Lane accept?

Health plans from Anthem Blue Cross and Blue Shield list Stephen Lane 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 Stephen Lane affiliated with any hospitals?

According to CMS data, Stephen Lane is affiliated with Beth Israel Deaconess Hospital Plymouth, South Shore Hospital and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Lane was last updated on July 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.