David Richey Lane, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

00844 Issued in NC

Practice address

15830 Ballantyne Medical Place
Ste 225
Charlotte, NC 28277-3294

Phone

(704) 919-1105

Fax

(704) 910-3163

NPI assigned

Jul 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC, SC2 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 2

Specialty

Dermatology

Education

University of Missouri, Columbia School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatologic Surgery of the Carolinas LLCGroup PAC ID 1557448537, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.94 of 100Reported as group

Quality

79.36

Improvement activities

40

Cost

57.31

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: david.lane@dsc.eclinicaldirectplus.com

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

• Dermatologic Surgery of the Carolinas LLC

  • MOHS-Micrographic Surgery Physician
  • Charlotte, NC
  • NPI 1790961670

  SC

  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1093744096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15830 BALLANTYNE MEDICAL PLACE",
            "address_2": "STE 225",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773294",
            "telephone_number": "704-919-1105",
            "fax_number": "704-910-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15830 BALLANTYNE MEDICAL PLACE",
            "address_2": "STE 225",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773294",
            "telephone_number": "704-919-1105",
            "fax_number": "704-910-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "DAVID",
        "middle_name": "RICHEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "200600844",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "00844",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NC",
            "license": "00844",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NC",
            "license": "00844",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "2075624",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abagael Lane
• Adrienne Dunlap Lane
• Aimee Michelle Lane, LCMHCA
• Austin Brooke Lane, NP
• Crystal Lane, PHARM.D
• Ebonie Lane, NP
• Jennifer Lane, MD
• Juliette B. Lane, CRNA
• Kamaria Lane
• Mackenzie Marie Lane, RD

• MOHS-Micrographic Surgery Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• MOHS-Micrographic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.