LANCE L LANE (PA-C) – Physician Assistant, NPI 1023088655

LANCE L LANE (PA-C) is a healthcare provider. based in Belleville, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085001883 (IL). The NPI Number for LANCE L LANE (PA-C) is 1023088655

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
LANCE L LANE (PA-C)
NPI
1023088655
Phone
(618) 222-0000
Address
3701 MEMORIAL DR
Enumeration Date
25 January 2006
Last Update Date
16 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
8628064979
Group Practice PAC ID
6800784083
Professional Enrollment ID
I20040422000144
Address ID
IL622265373BE4700XDRXX300
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

5,035 PHYSICIAN ASSISTANT in IL

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Provider Addresses for LANCE L LANE (PA-C)

  • 3701, Memorial Drive, Royal Heights, Belleville, Saint Clair County, Illinois, 62226, United States

    BELLEVILLE, IL 622265412

    Phone: (618) 222-0000

    Fax: (618) 222-9329

    Type: Mailing

  • 4700 MEMORIAL DR STE 210

    BELLEVILLE, IL 622265373

    Phone: (618) 767-7700

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 460 Open Payments records for all available years, with a total value of $7,114.

Total Amount is formed as General ($7,114) + Research ($0) + Ownership ($0) = $7,114.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,508).

Total Amount

$7,114

General + Research + Ownership

Payments

460

Total payment records

General Amount

$7,114

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-04-22

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
I20040422000144IPhysician AssistantILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes719306$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg43347$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit203203$0
99213Established patient office or other outpatient visit, 20-29 minutes11596$0
96372Injection of drug or substance under skin or into muscle9335$0
View full utilization report →

Insurance plans in this area (ZIP 62226)

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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: 6800784083View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Family PracticeIL
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
G A S T R O E N T E R O L O G YGA
Physician AssistantIL
-MO
Gastroenterology, Gastroenterology, Internal MedicineOH
Nurse PractitionerIL

Reviews

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Frequently asked questions

What NPI should I save for LANCE L LANE (PA-C)?
Save NPI 1023088655 if you need a stable reference for LANCE L LANE (PA-C).
Is LANCE L LANE (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does LANCE L LANE (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for LANCE L LANE (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for LANCE L LANE (PA-C)?
We surface Belleville, Illinois for LANCE L LANE (PA-C) based on available NPPES addresses.
Is LANCE L LANE (PA-C) a real provider?
This page reflects official NPPES data for NPI 1023088655. Always confirm identity and privileges with the practice and licensing boards.

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