Individual provider Active NPI

Lance Miles Maynard, D.O.

  • Orthopaedic Surgery Physician
  • Columbus, OH
National Provider Identifier
1154520013
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
34.009863 Issued in OH
Practice address
303 E Town St
Columbus, OH 43215-4601
Phone
(614) 788-5000
Fax
(614) 788-5100
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X 34.009863 OH Primary

Addresses

Primary practice location

303 E Town St
Columbus, OH 43215-4601

Mailing address

303 E Town St
Columbus, OH 43215-4601
Phone (614) 788-5000

Other practice location 1

323 E Town St
Columbus, OH 43215-4767
Phone (614) 461-8174

Other identifiers 2

IdentifierTypeStateIssuer
0074923MedicaidOH
H250561OtherMCR OPG PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmaynard14677@direct.ohiohealth.com OhioHealth Physician Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140131001580 OH Practitioner - Orthopedic Surgery 7113174038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Ohio University, College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

323 E Town St
Columbus, OH 43215-4753
Phone (614) 461-8174

Hospital & facility affiliations

  • Ohiohealth Home Health With Compassus Home health agency, Dublin, OH, CCN 367615
  • Summit Orthopaedic Home Care Home health agency, Grandview Heights, OH, CCN 368154
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement32
Knee replacement72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.009863OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Dec 20, 2016 Accepting new patients
Ohiohealth Corporation CurrentSince Dec 20, 2016 Accepting new patients
Ohiohealth Corporation Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

323 E Town St
Columbus, OH 43215
Phone (614) 461-8174

Dept L3652
Columbus, OH 43260

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

303 E Town St
Columbus, OH 43215
Phone (614) 788-5000

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

417 Hill Rd N
Pickerington, OH 43147
Phone (614) 833-5520

5150 E Dublin Granville Rd
Ste 150
Westerville, OH 43081
Phone (614) 566-4414

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1154520013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E TOWN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154601",
            "telephone_number": "614-788-5000",
            "fax_number": "614-788-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E TOWN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154601",
            "telephone_number": "614-788-5000",
            "fax_number": "614-788-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 E Town St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154767",
            "country_code": "US",
            "telephone_number": "614-461-8174",
            "fax_number": "614-461-9155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "LANCE",
        "middle_name": "MILES",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "34.009863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074923",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR OPG PTAN",
            "identifier": "H250561",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmaynard14677@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "303 E Town St",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432154601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.