DR. FREDERICK ROBERT LANE (M.D.) – Colon & Rectal Surgery Physician, NPI 1376507103
Colon & Rectal Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
64 COLORECTAL SURGERY (PROCTOLOGY) in IN
Provider Addresses for DR. FREDERICK ROBERT LANE (M.D.)
PO BOX 781076
DETROIT, MI 482781076
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
1040 SIERRA DR STE 400
GREENWOOD, IN 461437241
Phone: (317) 528-4800
Type: Mailing
5255 E STOP 11 RD STE 250
INDIANAPOLIS, IN 462376343
Phone: (317) 528-2270
Fax: (317) 528-2286
Type: Location
5255, East Stop 11 Road, Indianapolis, Indiana, 46237, United States
INDIANAPOLIS, IN 462376341
Phone: (317) 889-7906
Fax: (317) 889-7908
Type: Mailing
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: 2011-04-08
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 |
|---|---|---|---|---|
| I20110408000327 | I | Colorectal Surgery (Proctology) | IN | 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 |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 154 | 154 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 57 | 46 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 49 | 41 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 48 | 36 | $0 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 48 | 48 | $0 |
Insurance plans in this area (ZIP 48278)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| COLORECTAL SURGERY (PROCTOLOGY) | IN | 46600 | Diagnostic examination of the anus using an endoscope | 41 | 41 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | IN | |
| - | MI | |
| - | IN | |
| - | IN | |
| Family Practice | IN | |
| - | MI | |
| Internal Medicine | IN | |
| Internal Medicine, Emergency Medicine | MI |
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