MICHAEL LANE (PA-C) – Physician Assistant, NPI 1023827979

MICHAEL LANE (PA-C) is a healthcare provider. based in Stamford, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for MICHAEL LANE (PA-C) is 1023827979

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL LANE (PA-C)
NPI
1023827979
Phone
Not provided
Address
1 HOSPITAL PLZ
Enumeration Date
6 January 2025
Last Update Date
6 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2032764925
Graduation Year
2024 (2 years ago)
PAC ID
6305361593
Group Practice PAC ID
9335051432
Professional Enrollment ID
I20250421001681
Address ID
CT069022594ST32XXXCTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

Provider Addresses for MICHAEL LANE (PA-C)

  • 1 HOSPITAL PLZ

    STAMFORD, CT 069023602

    Phone:

    Mailing address matches the actual address.

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: 2025-04-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20250421001681IPhysician AssistantCTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06902)

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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: 9335051432View full group profile
NameSpecialtyState
Physician AssistantNY
Physician AssistantNY
Emergency MedicineCT
Emergency MedicineCT
Emergency MedicineNY
Emergency MedicineCT
Emergency MedicineCT
Physician AssistantCT
Physician AssistantNY
Emergency MedicineNY

Reviews

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Frequently asked questions

Where can patients find MICHAEL LANE (PA-C)'s NPI?
You can confirm MICHAEL LANE (PA-C) with NPI 1023827979; it appears in the national provider directory.
Is MICHAEL LANE (PA-C) active in the national directory?
MICHAEL LANE (PA-C)'s public NPI profile is in an active state.
Does MICHAEL LANE (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for MICHAEL LANE (PA-C). Clinical services aligned with this taxonomy classification.
Where is MICHAEL LANE (PA-C)'s primary listing?
We display Stamford, Connecticut because that is what the record indicates for MICHAEL LANE (PA-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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