Individual provider Active NPI

Lance C. Faler, M.D.

  • Diagnostic Radiology Physician
  • Cape Girardeau, MO
National Provider Identifier
1073558177
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
31633 Issued in TN
Practice address
70 Doctors Park
Cape Girardeau, MO 63703-4928
Phone
(573) 334-6071
NPI assigned
Jun 20, 2006
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2007001559 MO
Diagnostic Radiology Physician 2085R0202X 31633 TN Primary

Addresses

Primary practice location

70 Doctors Park
Cape Girardeau, MO 63703-4928

Mailing address

70 Doctors Park
Cape Girardeau, MO 63703-4928
Phone (573) 334-6071

Other identifiers 1

IdentifierTypeStateIssuer
207391608MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TN, NC, IL, KY5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20070418000013 MO Practitioner - Diagnostic Radiology 7618072844 Reassigns benefits to 5 organizations
I20200608001494 TN Practitioner - Diagnostic Radiology 7618072844 Reassigns benefits to 2 organizations
I20200814000985 NC Practitioner - Diagnostic Radiology 7618072844 Reassigns benefits to 1 organization
I20220809003603 IL Practitioner - Diagnostic Radiology 7618072844 Reassigns benefits to 1 organization
I20230516003293 KY Practitioner - Diagnostic Radiology 7618072844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Mississippi School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Radiology Group PCGroup PAC ID 9830093236, 54 clinicians
Mercy Hospital PerryGroup PAC ID 1153777826, 115 clinicians

Practice addresses (Care Compare)

1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone (270) 444-2444

405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721

434 N W St
Perryville, MO 63775-1359
Phone (573) 547-2536

4927 Toll House TRL
Signal Mountain, TN 37377-8552
Phone (573) 335-6671

70 Doctors Park
Cape Girardeau, MO 63703-4928
Phone (573) 334-6071

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2007001559MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Perry Diagnostic Radiology Current Accepting new patients
Cape Radiology Group, P.C. Diagnostic Radiology CurrentSince Aug 8, 2022 Accepting new patients
Macon County Samaritan Hospital CurrentSince Mar 20, 2007 Accepting new patients
Mercy Hospital Perry CurrentSince Oct 1, 2023 Accepting new patients
Mercy Hospital Perry CurrentSince Oct 1, 2023 Accepting new patients
Columbia Orthopaedic Group, LLP CurrentSince Oct 1, 2016 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
Columbia Orthopaedic Group, LLP CurrentSince Oct 1, 2016 Accepting new patients
Sanford Clinic Diagnostic Radiology PastSince Mar 1, 2021 Accepting new patients
Comprehensive Radiology Services, PLLC Diagnostic Radiology PastSince Mar 8, 2001 Accepting new patients

Locations

1502 N Thornton Ave
Dalton, GA 30720
Phone (706) 278-9729

517 N Main St
Anna, IL 62906
Phone (618) 833-2295

405 W Jackson St
Carbondale, IL 62901

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

1 S Keene St
Columbia, MO 65201
Phone (573) 443-2402

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

70 Doctors Park
Cpe Girardeau, MO 63703

611 W Main St
Fredericktown, MO 63645
Phone (573) 773-7061

1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151

434 N West St
Perryville, MO 63775
Phone (573) 547-2530

1710 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 309-9256

2205 McCallie Ave
Chattanooga, TN 37404
Phone (423) 508-6733

2070 Hamill Rd
Hixson, TN 37343
Phone (423) 553-1220

210 25th Ave N
Ste 1204
Nashville, TN 37203
Phone (615) 312-1479

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1073558177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 DOCTORS PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034928",
            "telephone_number": "573-334-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 DOCTORS PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034928",
            "telephone_number": "573-334-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALER",
        "first_name": "LANCE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2007001559",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "31633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207391608",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.