NPIMap

Individual provider Active NPI

Pamela L. Lancaster, D.O.

  • Family Medicine Physician
  • Jefferson, OH
National Provider Identifier
1669428769
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34003410L Issued in OH
Practice address
38 Dorset Rd
Jefferson, OH 44047-1452
Phone
(216) 383-0100
Fax
(216) 383-6481
NPI assigned
May 26, 2006
Last updated
Dec 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34003410L OH Primary

Addresses

Primary practice location

38 Dorset Rd
Jefferson, OH 44047-1452

Mailing address

38 Dorset Rd
Jefferson, OH 44047
Phone (216) 383-6480

Other identifiers 3

IdentifierTypeStateIssuer
0494522MedicaidOH
942460636412OtherOHCARESOURCE
P00285499OtherOHMEDICARE TRAVELERS RR-GA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pamelalancaster@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051206001057 OH Practitioner - Family Practice 8820018773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Hospitals Regional Practices LLCGroup PAC ID 3779818638, 26 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

15976 E High St
Suite 100
Middlefield, OH 44062-9474
Phone (440) 632-0770

38 Dorset Rd
Jefferson, OH 44047-1452
Phone (440) 576-4455

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.24 of 100Reported as group
Quality
62.05
Promoting interoperability
100
Improvement activities
40
Cost
73.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34003410LOHMDFamily Medicine Physician
3410OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Regional Practices LLC Family Medicine CurrentSince Jul 21, 2019 Accepting new patients
4M Emergency Systems Andover LLC Past Accepting new patients
County of Ashtabula Past Accepting new patients

Locations

38 Dorset Rd
Jefferson, OH 44047
Phone (440) 576-4455

15976 E High St
Ste 100
Middlefield, OH 44062
Phone (440) 632-0770

Interoperability endpoints

  • Direct secure messaging: plancaster37401@ehrdirect.uhhospitals.org

Organizations & group practices 3

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 10

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1669428769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 DORSET RD",
            "city": "JEFFERSON",
            "state": "OH",
            "postal_code": "44047",
            "telephone_number": "216-383-6480",
            "fax_number": "216-383-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 DORSET RD",
            "city": "JEFFERSON",
            "state": "OH",
            "postal_code": "440471452",
            "telephone_number": "216-383-0100",
            "fax_number": "216-383-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCASTER",
        "first_name": "PAMELA",
        "middle_name": "L.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34003410L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0494522",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "942460636412",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAVELERS RR-GA",
            "identifier": "P00285499",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pamelalancaster@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "38 Dorset Rd",
            "city": "Jefferson",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440471452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jefferson, OH

Sources for this page

Verify at the official NPI Registry.