LAWRENCE C DECIPEDA (PA) – Physician Assistant, NPI 1366405110

LAWRENCE C DECIPEDA (PA) is a healthcare provider. based in Independence, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 50001963 (OH). The NPI Number for LAWRENCE C DECIPEDA (PA) is 1366405110

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
LAWRENCE C DECIPEDA (PA)
NPI
1366405110
Phone
(800) 223-2273
Address
6000 W CREEK RD
Enumeration Date
11 April 2006
Last Update Date
30 January 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4409432500
Graduation Year
2002 (24 years ago)
PAC ID
6002943560
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20100415000275
Address ID
OH440949655WI2550XRDXX400
Telehealth
Yes
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

5,032 PHYSICIAN ASSISTANT in OH

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Provider Addresses for LAWRENCE C DECIPEDA (PA)

  • 6000, West Creek Road, Independence, Cuyahoga County, Ohio, 44131, United States

    SUITE 10

    INDEPENDENCE, OH 441312139

    Phone: (800) 223-2273

    Type: Mailing

  • Cleveland Clinic, 9500, Euclid Avenue, Newton Avenue Historic District, University Circle, Cleveland, Cuyahoga County, Ohio, 44195, United States

    CLEVELAND, OH 441950001

    Phone: (800) 223-2273

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $228.

Total Amount is formed as General ($228) + Research ($0) + Ownership ($0) = $228.

Last reported payment date: 2024-08-02 • Largest payer in this snapshot: Antares Pharma, Inc. ($122).

Total Amount

$228

General + Research + Ownership

Payments

3

Total payment records

General Amount

$228

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-02

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: 2010-04-15

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
I20100415000275IPhysician AssistantOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes463402$0
99214Established patient office or other outpatient visit, 30-39 minutes322313$0
99212Established patient office or other outpatient visit, 10-19 minutes7865$0
99215Established patient office or other outpatient visit, 40-54 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 44131)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I verify LAWRENCE C DECIPEDA (PA) with an NPI only?
You can start verification with NPI 1366405110 for LAWRENCE C DECIPEDA (PA), then check state licensing separately.
Does the file indicate LAWRENCE C DECIPEDA (PA) is practicing under active NPI?
Directory data currently reports LAWRENCE C DECIPEDA (PA) as active.
What is LAWRENCE C DECIPEDA (PA)'s primary classification?
Physician Assistant is the headline specialty for LAWRENCE C DECIPEDA (PA) here. Clinical services aligned with this taxonomy classification.
What area does LAWRENCE C DECIPEDA (PA) serve?
LAWRENCE C DECIPEDA (PA)'s listing highlights Independence, Ohio; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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