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THERESA NOELLE LANHAM D.O.
NPI 1972037208
Internal Medicine - Endocrinology, Diabetes & Metabolism in Owensboro, KY

Active since April 13, 2017PECOS EnrolledAccepts Medicare Assignment
1000 BRECKENRIDGE ST STE 200, OWENSBORO, KY 42303(270) 691-8040(270) 691-8049 Get Directions Write a Review

NPPES record last updated: December 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2022, Dec 1, 2022, Nov 18, 2022 and 4 more (7 updates tracked since 2017).

About Theresa Noelle Lanham D.o. NPPES

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

THERESA NOELLE LANHAM D.O. (NPI 1972037208) is an individual endocrinology, diabetes & metabolism provider in Owensboro, Kentucky, licensed in Kentucky (05389) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Owensboro Health Regional Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972037208
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameTHERESA NOELLE LANHAMCredential: D.O.
Location Address1000 BRECKENRIDGE ST STE 200Owensboro, KY 42303-0876
Mailing AddressPo Box 23229Owensboro, KY 42304-3229 · (270) 688-1330 · Fax (270) 688-1338
Phone(270) 691-8040
Fax(270) 691-8049
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 13, 2017
Last NPPES UpdateDecember 16, 20227 updates tracked since enumeration
NPPES CertifiedDecember 16, 2022
✔ NPI 1972037208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in KY · 05389✔ Licensed in KY · TP154
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MB10757100 (NJ), OT017578 (PA)
1000 BRECKENRIDGE ST STE 200, Owensboro, KY 42303
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Other Names 1

Former Name (1)Theresa N. Lynn Do

Secondary Practice Locations 2

Location 1420 S 5th AveWest Reading, PA 19611-2143 · Phone (484) 628-8640 · Fax (484) 628-9003
Location 2705 Haddonfield Berlin RdVoorhees, NJ 08043-3714 · Phone (856) 679-0537

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Theresa Noelle Lanham D.o. 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 ID4183993058
PECOS Enrollment IDI20230123000389
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.
266 services129 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
243 services101 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
176 services90 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.
71 services71 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
68 services28 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.
45 services37 patients

Hospital Affiliations CMS Care Compare 3

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

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180038
Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County
Emergency services Birthing friendly

Owensboro Health Twin Lakes Medical Center

Acute Care Hospitals · Leitchfield, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180070
Location910 Wallace AvenueLeitchfield, KY 42754 · Grayson County
Emergency services Birthing friendly

Ohio County Hospital

Critical Access Hospitals · Hartford, KY
OwnershipProprietary
CMS Certification Number181323
Location1211 Old Main StreetHartford, KY 42347 · Ohio County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42303 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 2

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

BETTY C VILLAFUERTE MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1000 BRECKENRIDGE ST STE 200
OWENSBORO, KY 42303
Daviess County (270) 691-8040
MARY CHIRANKA DE CROOS MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1000 BRECKENRIDGE ST STE 200
OWENSBORO, KY 42303
Daviess County (270) 691-8040

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 Theresa Lanham's NPI number?

The NPI number for Theresa Lanham is 1972037208. It was assigned to this individual provider in the NPPES registry on April 13, 2017. The provider is also known as Theresa N. Lynn Do.

Where is Theresa Lanham located?

Theresa Lanham practices at 1000 Breckenridge St Ste 200, Owensboro, KY 42303. The listed phone number is (270) 691-8040.

What is Theresa Lanham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Theresa Lanham enrolled in Medicare?

Yes. Theresa Lanham 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 Theresa Lanham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Theresa Lanham 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 Theresa Lanham affiliated with any hospitals?

According to CMS data, Theresa Lanham is affiliated with Owensboro Health Regional Hospital, Owensboro Health Twin Lakes Medical Center and Ohio County Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Lanham was last updated on December 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.