JAMES W LUST (P.A.-C) – Physician Assistant, NPI 1831116466
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
756 PHYSICIAN ASSISTANT in DE
Provider Addresses for JAMES W LUST (P.A.-C)
111 Neurology Way
Milford, DE 199635368
Phone: (302) 422-0800
Type: Location
1095 S BRADFORD ST
DOVER, DE 199044141
Phone: (302) 678-8100
Type: Mailing
1074, South State Street, Morris Estates, Dover, Kent County, Delaware, 19901, United States
DOVER, DE 199016925
Phone: (302) 678-8100
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 495 Open Payments records for all available years, with a total value of $15,945.
Total Amount is formed as General ($15,945) + Research ($0) + Ownership ($0) = $15,945.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: ABBVIE INC. ($5,568).
Total Amount
$15,945
General + Research + Ownership
Payments
495
Total payment records
General Amount
$15,945
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $5,568 |
| Biogen, Inc. | $720 |
| Boston Scientific Corporation | $670 |
| EMD Serono, Inc. | $494 |
| Otsuka America Pharmaceutical, Inc. | $453 |
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: 2004-01-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040110000172 | I | Physician Assistant | DE | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 463 | 216 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 123 | 34 | $0 |
| 96374 | Injection of drug or substance into vein | 64 | 34 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 41 | 37 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 30 | 23 | $0 |
Insurance plans in this area (ZIP 19963)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | DE |
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