LAWRENCE C DECIPEDA PA
NPI 1366405110
Physician Assistant in Cleveland, OH
NPI Status: Active since April 11, 2006
Contact Information
9500 EUCLID AVE
CLEVELAND, OH
ZIP 44195
Phone: (800) 223-2273
- Individual
- Male
- Years of Experience 24
- Physician Assistant
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About LAWRENCE DECIPEDA
This page provides the complete NPI Profile along with additional information for Lawrence Decipeda, a primary care provider established in Cleveland, Ohio with a medical specialization in Physician Assistant and more than 24 years of experience. The healthcare provider is registered in the NPI registry with number 1366405110 assigned on April 2006. The practitioner's primary taxonomy code is 363A00000X with license number 50001963 (OH). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1366405110
- Provider Name
- LAWRENCE C DECIPEDA PA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 9500 EUCLID AVE CLEVELAND, OH 44195
- Location Phone
- (800) 223-2273
- Mailing Address
- 6000 W CREEK RD SUITE 10 INDEPENDENCE, OH 44131
- Mailing Phone
- (800) 223-2273
- Medical School Name
- OTHER
- Graduation Year
- 2002
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-11-2006
- Last Update Date
- 01-30-2008
- Code Navigator
A primary care provider (PCP) like Lawrence Decipeda sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 50001963
- License State
- OH
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Standard - HMO
- Catastrophic Standard - HMO
- Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Standard - HMO
- Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Standard - HMO
- AultCare Bronze 7000 Select - PPO
- AultCare Bronze 8550 Select No Pediatric Dental - PPO
- AultCare Gold 1100 Select - PPO
- AultCare Gold 1100 Select No Pediatric Dental - PPO
- AultCare Silver 6550 Select No Pediatric Dental - PPO
- AultCare Silver 7900 Premier Select No Pediatric Dental - PPO
- AultCare Standard Bronze Select No Pediatric Dental - PPO
- AultCare Standard Gold Select No Pediatric Dental - PPO
- AultCare Standard Silver Premier Select No Pediatric Dental - PPO
- AultCare Standard Silver Select No Pediatric Dental - PPO
- AultCare Bronze 5500 - PPO
- AultCare Bronze 7050 - PPO
- AultCare Gold 1000 - PPO
- AultCare Gold 1200 - PPO
- AultCare Gold 1800 - PPO
- AultCare Gold 2850 - PPO
- AultCare Gold 3150 - PPO
- AultCare Platinum 1200 - PPO
- AultCare Platinum 1800 Health Savings 500 - PPO
- AultCare Platinum 300 - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Lawrence Decipeda is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Lawrence Decipeda is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6002943560
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20100415000275
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Orthotic Devices
DME-Orthotic Devices (DF008N)
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each (HCPCS:A4352)
3 DME suppliers used 13 Medicare Claims 3470 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 23 times for 22 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 610 times for 469 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 38 times for 38 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 20 times for 20 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 15 times for 15 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.18 for a new patient copayment and $17.01 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 44195 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.72
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Lawrence Decipeda is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
AKRON GENERAL MEDICAL CENTER | 1 AKRON GENERAL AVENUE AKRON, OH 44307 | (330) 344-7944 | Acute Care Hospitals | |
EUCLID HOSPITAL | 18901 LAKE SHORE BOULEVARD EUCLID, OH 44119 | (216) 531-9000 | Acute Care Hospitals | |
ASHTABULA COUNTY MEDICAL CENTER | 2420 LAKE AVENUE ASHTABULA, OH 44004 | (440) 997-2262 | Acute Care Hospitals | |
CLEVELAND CLINIC | 9500 EUCLID AVENUE CLEVELAND, OH 44195 | (216) 952-9829 | Acute Care Hospitals | |
HILLCREST HOSPITAL | 6780 MAYFIELD ROAD MAYFIELD HEIGHTS, OH 44124 | (440) 312-4500 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 3 | 6 | 6 | 4 | 0 | 5 | 1 | 1 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 12 | 6 | 8 | 0 | 10 | 1 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 1 + 2 + 6 + 8 + 0 + 1 + 0 + 1 + 2 + 24 = 50 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1366405110 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1144223231 | DR. TERENCE LEE GUTGSELL M.D. Individual | Internal Medicine (Hospice and Palliative Medicine) | 9500 EUCLID AVE CLEVELAND, OH 44195 (216) 444-2200 |
1922002575 | DR. LEONARD JOSEPH HORWITZ MD Individual | Specialist | 9500 EUCLID AVE R35 CLEVELAND, OH 44195 (216) 445-2030 |
1851397004 | DR. DANIEL CLARK D.O. Individual | Anesthesiology | 9500 EUCLID AVE CLEVELAND, OH 44195 (800) 223-2273 |
1508862608 | CATHERINE NAHAS CRNA Individual | Nurse Anesthetist, Certified Registered | 9500 EUCLID AVE CLEVELAND, OH 44195 (800) 223-2273 |
1265438139 | DR. KALYANI D SHAH MD Individual | Physical Medicine & Rehabilitation (Pain Medicine) | 9500 EUCLID AVE C-21 CLEVELAND, OH 44195 (216) 445-0915 |
1386641744 | ALBERT V CHAN JR. Individual | Internal Medicine (Cardiovascular Disease) | 9500 EUCLID AVE WL20 CLEVELAND, OH 44195 (440) 899-5555 |
1003813833 | MARK PAUL PACE D.O. Individual | Internal Medicine (Cardiovascular Disease) | 9500 EUCLID AVE TW10 CLEVELAND, OH 44195 (330) 888-4000 |
1992704324 | PERRY L FLEISHER M.D. Individual | Internal Medicine (Interventional Cardiology) | 9500 EUCLID AVE CLEVELAND, OH 44195 (216) 444-2200 |
1548260201 | MRS. ERIN MARIE FELDMAN MSSA, LSW Individual | Social Worker | 9500 EUCLID AVE DESK S20 CLEVELAND, OH 44195 (216) 445-4224 |
1538169651 | BOHDAN MYKOLA PICHURKO MD Individual | Internal Medicine (Pulmonary Disease) | 9500 EUCLID AVE CLEVELAND, OH 44195 (216) 444-2200 |
1356342927 | AMY L AYLWARD M.A. Individual | Audiologist | 9500 EUCLID AVE CLEVELAND, OH 44195 (216) 986-1313 |
1144222167 | MRS. JULIA C JANKO AA-C Individual | Anesthesiologist Assistant | 9500 EUCLID AVE CLEVELAND, OH 44195 (216) 444-2200 |
1275535031 | MICHAEL HARRY HACKETT MD Individual | Family Medicine | 9500 EUCLID AVE WH10 CLEVELAND, OH 44195 (216) 444-2200 |
1770585390 | DR. ANDREI VERMONT M.D. Individual | Radiology (Diagnostic Radiology) | 9500 EUCLID AVE CLEVELAND, OH 44195 (800) 223-2273 |
1730171752 | DR. RAMON MADARA MALAYA JR. M.D. Individual | Surgery | 9500 EUCLID AVE ECC-1 CLEVELAND, OH 44195 (440) 204-7439 |
1275525362 | DR. RICHARD A FIGLER MD Individual | Family Medicine (Sports Medicine) | 9500 EUCLID AVE A 41 CLEVELAND, OH 44195 (216) 444-7512 |
1861484792 | RUTH M FARRELL MD, MA Individual | Surgery | 9500 EUCLID AVE JJ-60 CLEVELAND, OH 44195 (216) 444-2615 |
1376536425 | NORMAN KAI-YAN SO MD Individual | Psychiatry & Neurology (Neurology) | 9500 EUCLID AVE S51 CLEVELAND, OH 44195 (216) 444-9356 |
1992799902 | MS. EVELYN M ARAMBASICK APRN, BC Individual | Registered Nurse | 9500 EUCLID AVE CLEVELAND, OH 44195 (216) 444-5037 |
1235123324 | AIDA L MANDAPAT MD Individual | Pediatrics | 9500 EUCLID AVE CLEVELAND, OH 44195 (800) 223-2273 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366405110, enumerated in the NPI registry as an "individual" on April 11, 2006
The provider is located at 9500 Euclid Ave Cleveland, Oh 44195 and the phone number is (800) 223-2273
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider has more than 24 years of experience.
The provider might be accepting Accepts: Antidote Health Plan of Ohio, Inc. and AultCare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.72 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $68.07 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, New patient office or other outpatient visit, 30-44 minutes and New patient office or other outpatient visit, 45-59 minutes.
The practitioner is affiliated to the following hospital(s): AKRON GENERAL MEDICAL CENTER, EUCLID HOSPITAL, ASHTABULA COUNTY MEDICAL CENTER, CLEVELAND CLINIC and HILLCREST HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on April 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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