DR. JAMES J LAPOLLA JR. DPM
NPI 1871587063
Podiatrist - Foot & Ankle Surgery in Warren, OH

Active since September 02, 2005PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
8588 E MARKET ST, WARREN, OH 44484(330) 856-4444(330) 856-9033 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 29, 2024, Apr 15, 2021, May 13, 2020 (3 updates tracked since 2020).

About Dr. James J Lapolla Jr. Dpm NPPES

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

DR. JAMES J LAPOLLA JR. DPM (NPI 1871587063) is an individual foot & ankle surgery provider in Warren, Ohio, licensed in Ohio (36002617) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Mh St Joseph Warren Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871587063
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. JAMES J LAPOLLA JR.Credential: DPM
Location Address8588 E MARKET STWarren, OH 44484-2339
Mailing Address8588 E Market StWarren, OH 44484-2339 · (330) 856-4444 · Fax (330) 856-9033
Fax(330) 856-9033
Sole ProprietorYes
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1989
Enumeration DateSeptember 2, 2005
Last NPPES UpdateApril 15, 20213 updates tracked since enumeration
NPPES CertifiedApril 15, 2021
NPI 1871587063 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 OH · 36002617
8588 E MARKET ST, Warren, OH 44484

Secondary Practice Locations 2

Location 1339 E Jamestown RdGreenville, PA 16125-9206 · Phone (330) 856-4444 · Fax (330) 856-9033
Location 27264 Warren Sharon RdBrookfield, OH 44403-9691 · Phone (330) 448-6222 · Fax (330) 448-6549

Other Identifiers 1

Medicaid0787733OH

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. James J Lapolla Jr. Dpm 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 ID2860382330
PECOS Enrollment IDI20040318000179
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 26

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.

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.
1,490 services439 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
345 services204 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.
321 services185 patients
X-ray of foot, 2 views 73620
An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.
180 services100 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.
124 services67 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
115 services34 patients

Hospital Affiliations CMS Care Compare 3

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

Mh St Joseph Warren Hospital

Acute Care Hospitals · Warren, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360161
Location667 Eastland Ave SEWarren, OH 44484 · Trumbull County
Emergency services Birthing friendly

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number360352
Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

Sharon Regional Health System

Acute Care Hospitals · Sharon, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390211
Location740 East State StreetSharon, PA 16146 · Mercer County
Emergency services

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims 5

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier60 claims120 services$60.87 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier47 claims279 services$25.06 avg. paid by Medicare
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5513
DME-Orthotic Devices · category DF000N
1 supplier12 claims69 services$37.72 avg. paid by Medicare
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
1 supplier18 claims21 services$62.40 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L4360
DME-Orthotic Devices · category DF003N
1 supplier11 claims11 services$218.30 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 4

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

Dentist (General Practice)
8588 E MARKET ST
WARREN, OH 44484
Podiatrist (Primary Podiatric Medicine)
8588 E MARKET ST
WARREN, OH 44484
Clinic/Center (Dental)
8588 E MARKET ST
WARREN, OH 44484
Podiatrist
8588 E MARKET ST
WARREN, OH 44484

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 Lapolla's NPI number?

The NPI number for James Lapolla is 1871587063. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Where is James Lapolla located?

James Lapolla practices at 8588 E Market St, Warren, OH 44484. The listed phone number is (330) 856-4444.

What is James Lapolla's specialty?

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

Is James Lapolla enrolled in Medicare?

Yes. James Lapolla 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.

What insurance does James Lapolla accept?

Health plans from CareSource, MedMutual and UnitedHealthcare list James Lapolla 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 James Lapolla affiliated with any hospitals?

According to CMS data, James Lapolla is affiliated with Mh St Joseph Warren Hospital, Surgical Hospital At Southwoods and Sharon Regional Health System.

When was this NPI record last updated?

The NPPES record for James Lapolla was last updated on April 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.