CAROLYN ROBIN LANAM M.D.
NPI 1942664552
Emergency Medicine in Modesto, CA

Active since April 09, 2016PECOS EnrolledAccepts Medicare Assignment
1601 CUMMINS DR STE D, MODESTO, CA 95358(510) 851-7589 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 30, 2023, Mar 9, 2022, Jun 23, 2020 (3 updates tracked since 2020).

About Carolyn Robin Lanam M.d. NPPES

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

CAROLYN ROBIN LANAM M.D. (NPI 1942664552) is an individual emergency medicine provider in Modesto, California, licensed in California (A167875) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Washington, and is a graduate of University Of Michigan Medical School (2016).

NPPES Registry Identity

NPI1942664552
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameCAROLYN ROBIN LANAMCredential: M.D.
Location Address1601 CUMMINS DR STE DModesto, CA 95358-6411
Mailing Address2150 Pennsylvania Ave NwWashington, DC 20037-3201 · (202) 741-3000
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2016
Enumeration DateApril 9, 2016
Last NPPES UpdateJanuary 30, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
NPI 1942664552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in CA · A167875 Licensed in MN · 2749 Licensed in NY · 320644
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.

1601 CUMMINS DR STE D, Modesto, CA 95358

Secondary Practice Location 1

Location 12150 Pennsylvania Ave NWWashington, DC 20037-3201 · Phone (202) 741-3000

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

Carolyn Robin Lanam M.d. 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 ID9739502089
PECOS Enrollment IDI20200706002137
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 4

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.
197 services192 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
180 services171 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.
73 services72 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.
63 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95358 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.87 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$62.84 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 11

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

Psychiatry & Neurology (Psychiatry)
1601 CUMMINS DR STE D
MODESTO, CA 95358
Psychiatry & Neurology (Psychiatry)
1601 CUMMINS DR STE D
MODESTO, CA 95358
Psychiatry & Neurology (Psychiatry)
1601 CUMMINS DR STE D
MODESTO, CA 95358
Psychiatry & Neurology (Psychiatry)
1601 CUMMINS DR STE D
MODESTO, CA 95358
Psychiatry & Neurology (Psychiatry)
1601 CUMMINS DR STE D
MODESTO, CA 95358
Psychiatry & Neurology (Psychiatry)
1601 CUMMINS DR STE D
MODESTO, CA 95358
Anesthesiology
1601 CUMMINS DR STE D
MODESTO, CA 95358
Psychiatry & Neurology (Psychiatry)
1601 CUMMINS DR STE D
MODESTO, CA 95358

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 Carolyn Lanam's NPI number?

The NPI number for Carolyn Lanam is 1942664552. It was assigned to this individual provider in the NPPES registry on April 9, 2016.

Where is Carolyn Lanam located?

Carolyn Lanam practices at 1601 Cummins Dr Ste D, Modesto, CA 95358. The listed phone number is (510) 851-7589.

What is Carolyn Lanam's specialty?

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

Is Carolyn Lanam enrolled in Medicare?

Yes. Carolyn Lanam 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 Carolyn Lanam accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Carolyn Lanam 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.

When was this NPI record last updated?

The NPPES record for Carolyn Lanam was last updated on January 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.