DR. LANCE RUSSELL DUNLOP (M.D.) – Addiction Medicine (Preventive Medicine) Physician, NPI 1457452674

DR. LANCE RUSSELL DUNLOP (M.D.) is a healthcare provider. based in Fairbanks, Alaska. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 100774 (AK). The NPI Number for DR. LANCE RUSSELL DUNLOP (M.D.) is 1457452674

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. LANCE RUSSELL DUNLOP (M.D.)
NPI
1457452674
Phone
(907) 458-5250
Address
1650 COWLES ST
Enumeration Date
26 September 2006
Last Update Date
22 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9074593500
Graduation Year
2004 (22 years ago)
PAC ID
8224165113
Group Practice PAC ID
5698056901
Professional Enrollment ID
I20190307001317
Address ID
AK997015907FA1650XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience98
Completeness85
Years active:19State licenses:7Digital endpointsOther names

113 PSYCHIATRY in AK

Provider Addresses for DR. LANCE RUSSELL DUNLOP (M.D.)

  • 1650 COWLES ST

    FAIRBANKS, AK 997015907

    Phone: (907) 458-5250

    Fax: (907) 458-5255

    Type: Location

  • 1825 Marika Rd

    Fairbanks, AK 997095521

    Phone: (907) 474-0890

    Type: Location

  • Saint Luke's Gnaden Huetten Campus, 211, North 12th Street, Lehighton, Carbon County, Pennsylvania, 18235, United States

    LEHIGHTON, PA 182351138

    Phone: (610) 377-7174

    Fax: (610) 377-4758

    Type: Mailing

  • Blue Mountain Community Center, 512, Bank Street, Bowmanstown, Carbon County, Pennsylvania, 18071, United States

    BOWMANSTOWN, PA 180300010

    Phone: (610) 377-7174

    Fax: (610) 377-4758

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150812007874IPsychiatryNJTBD
I20190307001317IPsychiatryAKTBD
I20251223002199IPsychiatryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12536$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5540$0
99238Hospital discharge day management, 30 minutes or less2321$0
View full utilization report →

Insurance plans in this area (ZIP 99701)

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Provider's Procedures

DR. LANCE RUSSELL DUNLOP (M.D.) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYPA90792Psychiatric diagnostic evaluation with medical services1614

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698056901View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)AK
A N E S T H E S I O L O G YMD
P S Y C H I A T R YWA
H O S P I T A L I S TCA
Emergency MedicineAK
U R O L O G YAK
Certified Registered Nurse Anesthetist (Crna)ID
Family PracticeAK
-AK

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Frequently asked questions

Can I verify DR. LANCE RUSSELL DUNLOP (M.D.) with an NPI only?
You can start verification with NPI 1457452674 for DR. LANCE RUSSELL DUNLOP (M.D.), then check state licensing separately.
Does the file indicate DR. LANCE RUSSELL DUNLOP (M.D.) is practicing under active NPI?
Directory data currently reports DR. LANCE RUSSELL DUNLOP (M.D.) as active.
What is DR. LANCE RUSSELL DUNLOP (M.D.)'s primary classification?
Addiction Medicine (Preventive Medicine) Physician is the headline specialty for DR. LANCE RUSSELL DUNLOP (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. LANCE RUSSELL DUNLOP (M.D.)?
DR. LANCE RUSSELL DUNLOP (M.D.)'s geographic hint is Fairbanks, Alaska in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.