LAWRENCE JOHN JR. FANELLY (DO) – Anatomic Pathology & Clinical Pathology Physician, NPI 1285614503

LAWRENCE JOHN JR. FANELLY (DO) is a healthcare provider. based in Oregon, Ohio. specializing in PATHOLOGY. They hold the professional credentials DO. They hold a License No. 34003344F (OH). The NPI Number for LAWRENCE JOHN JR. FANELLY (DO) is 1285614503

Main info

Male
Sole Proprietor
49 Years Of Experience
Accepts Medicare Assignment
Name
LAWRENCE JOHN JR. FANELLY (DO)
NPI
1285614503
Phone
(419) 696-7216
Address
2600 NAVARRE AVE
Enumeration Date
20 January 2006
Last Update Date
15 September 2017

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
4192513232
Graduation Year
1977 (49 years ago)
PAC ID
6406981752
Group Practice PAC ID
3577597277
Professional Enrollment ID
I20100311001082
Address ID
OH436082673TO2222XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

749 PATHOLOGY in OH

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Provider Addresses for LAWRENCE JOHN JR. FANELLY (DO)

  • 2600, Navarre Avenue, Oregon, Lucas County, Ohio, 43616, United States

    OREGON, OH 436163207

    Phone: (419) 696-7216

    Fax: (419) 696-2123

    Type: Location

  • P.O. BOX 1188

    BOWLING GREEN, OH 434021188

    Phone: (419) 698-9711

    Fax: (419) 698-2841

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2024-03-26 • Largest payer in this snapshot: Roche Diagnostics Corporation ($32).

Total Amount

$32

General + Research + Ownership

Payments

1

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-26

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: 2010-03-11

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
I20100311001082IPathologyOHTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity836412$0
88341Special stained specimen slides to examine tissue, each additional procedure19460$0
88342Special stained specimen slides to examine tissue, initial procedure140119$0
84165Protein measurement, serum11096$0
88307Pathology examination of tissue using a microscope, moderately high complexity9262$0
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Insurance plans in this area (ZIP 43616)

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Provider's Procedures

LAWRENCE JOHN JR. FANELLY (DO) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYOH88304Pathology examination of tissue using a microscope, moderately low complexity7570
PATHOLOGYOH88307Pathology examination of tissue using a microscope, moderately high complexity14181
PATHOLOGYOH88312Special stained specimen slides to identify organisms including interpretation and report4837

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: 3577597277View full group profile
NameSpecialtyState
P A T H O L O G YMI
-OH
P A T H O L O G YOH
P A T H O L O G YAZ
-OH
P A T H O L O G YMI
P A T H O L O G YOH
P A T H O L O G YOH

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Frequently asked questions

Is there an official ID for LAWRENCE JOHN JR. FANELLY (DO) in U.S. healthcare records?
The official identifier for LAWRENCE JOHN JR. FANELLY (DO) is NPI 1285614503.
Is LAWRENCE JOHN JR. FANELLY (DO) shown as active in public data?
Registry records indicate LAWRENCE JOHN JR. FANELLY (DO) maintains an active NPI.
How would a patient describe LAWRENCE JOHN JR. FANELLY (DO)'s focus?
For LAWRENCE JOHN JR. FANELLY (DO), the primary taxonomy reads as Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with LAWRENCE JOHN JR. FANELLY (DO)?
Directory geography for LAWRENCE JOHN JR. FANELLY (DO) centers on Oregon, Ohio.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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