Jared Lancaster, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

C05992 Issued in MD

Practice address

625 Kent Ave
Suite 102
Cumberland, MD 21502-3794

Phone

(301) 777-2503

NPI assigned

Nov 5, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, PA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allegany Imaging PCGroup PAC ID 4981591773, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Western Maryland Regional Medical Center Hospital, Cumberland, MD, CCN 210027

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

99.35

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Allegany Imaging, PC

  • Diagnostic Radiology Physician
  • Cumberland, MD
  • NPI 1093809212

  MD, PA

  Medicare reassignment Care Compare group

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

• Upmc Western Maryland Corporation

  • Mental Illness Community Based Residential Treatment Facility
  • Cumberland, MD
  • NPI 1174141592

  Hospital

  Care Compare affiliation
• Upmc Western Maryland Corporation

  • General Acute Care Hospital
  • Cumberland, MD
  • NPI 1609831247

  Hospital

  Care Compare affiliation
• Upmc Western Maryland Corporation

  • Hearing and Speech Clinic/Center
  • Cumberland, MD
  • NPI 1740969245

  Hospital

  Care Compare affiliation
• Upmc Western Maryland Corporation

  • Clinic/Center
  • Cumberland, MD
  • NPI 1780251850

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1609249127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENT AVE",
            "address_2": "SUITE 102",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023794",
            "telephone_number": "301-777-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 KENT AVE",
            "address_2": "SUITE 102",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023794",
            "telephone_number": "301-777-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCASTER",
        "first_name": "JARED",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C05992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lameh Fananapazir MD PA
• William D. Lamm, M.D.
• Jared Lamp
• Trista Lee Lamp
• Nii L Lamptey-Mills, M.D
• Lindsey Lancaster, LMSW
• Amy Lander, LCSW-C
• Donna Langham, LCPC
• Laura K Lanyon, FNP
• Susan Renee Lapid, CRNP

• All providers in Cumberland, MD
• Surgical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.