DR. PAUL JOSEPH LANIER DO
NPI 1982969846
Orthopaedic Surgery in Phoenix, AZ

Active since July 06, 2012PECOS EnrolledAccepts Medicare Assignment
97.4/100
CMS Quality Rating
2500 W UTOPIA RD STE 100, PHOENIX, AZ 85027(801) 471-7340 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 1, 2022, Nov 13, 2019 (2 updates tracked since 2019).

About Dr. Paul Joseph Lanier Do NPPES

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

DR. PAUL JOSEPH LANIER DO (NPI 1982969846) is an individual orthopaedic surgery provider in Phoenix, Arizona, licensed in Arizona (008200) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1982969846
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. PAUL JOSEPH LANIERCredential: DO
Location Address2500 W UTOPIA RD STE 100Phoenix, AZ 85027-4172
Mailing Address2500 W Utopia Rd Ste 100Phoenix, AZ 85027-4172 · (801) 471-7340
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 6, 2012
Last NPPES UpdateOctober 28, 20242 updates tracked since enumeration
NPPES CertifiedOctober 22, 2024
✔ NPI 1982969846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in AZ · 008200✔ Licensed in CA · 20A18085
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2500 W UTOPIA RD STE 100, Phoenix, AZ 85027

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul Joseph Lanier Do 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 ID8022441773
PECOS Enrollment IDI20191210003148, I20230130001582
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Paul Lanier reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
19841 N 27TH AVE STE 101
Phoenix, AZ 85027
  • Reassigned Medicare billing, Arizona enrollment
  • 822 clinicians in this Medicare group
General Practice
455 N MESA DR STE 5
Mesa, AZ 85201
  • Reassigned Medicare billing, Arizona enrollment
General Acute Care Hospital
2400 S AVE A
Yuma, AZ 85364
  • Reassigned Medicare billing, Arizona enrollment
  • 557 clinicians in this Medicare group
Internal Medicine
805 MOUNTAIN VIEW
Barstow, CA 92311
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group
Emergency Medicine
3600 CUMBERLAND AVE
Middlesboro, KY 40965
  • Reassigned Medicare billing, Kentucky enrollment
  • 419 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85027 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Family Medicine
2500 W UTOPIA RD STE 100
PHOENIX, AZ 85027
Emergency Medicine (Emergency Medical Services)
2500 W UTOPIA RD STE 100
PHOENIX, AZ 85027
Physician Assistant (Surgical)
2500 W UTOPIA RD STE 100
PHOENIX, AZ 85027

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 Paul Lanier's NPI number?

The NPI number for Paul Lanier is 1982969846. It was assigned to this individual provider in the NPPES registry on July 6, 2012.

Where is Paul Lanier located?

Paul Lanier practices at 2500 W Utopia Rd Ste 100, Phoenix, AZ 85027. The listed phone number is (801) 471-7340.

What is Paul Lanier's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Paul Lanier enrolled in Medicare?

Yes. Paul Lanier 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.

Which organizations bill Medicare for Paul Lanier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Lanier reassigns Medicare benefits to 5 organizations: Honorhealth Ambulatory (Phoenix, AZ), Pk Neurology PLLC (Mesa, AZ), Yuma Regional Medical Center (Yuma, AZ), Barstow Primary Care Clinic (Barstow, CA) and Appalachian Regional Healthcare, Inc. (Middlesboro, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Lanier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Lanier accept?

Health plans from Blue Cross Blue Shield of Arizona, CareSource, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. list Paul Lanier 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 Paul Lanier was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.