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

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  • 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
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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

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 patients

Established patient office or other outpatient visit, 20-29 minutes

This 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 patients

Established patient office or other outpatient visit, 30-39 minutes

This 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 patients

New patient office or other outpatient visit, 30-44 minutes

This 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 patients

New patient office or other outpatient visit, 45-59 minutes

This 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 patients

Physician 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 CENTER1 AKRON GENERAL AVENUE
AKRON, OH 44307
(330) 344-7944Acute Care Hospitals
EUCLID HOSPITAL18901 LAKE SHORE BOULEVARD
EUCLID, OH 44119
(216) 531-9000Acute Care Hospitals
ASHTABULA COUNTY MEDICAL CENTER2420 LAKE AVENUE
ASHTABULA, OH 44004
(440) 997-2262Acute Care Hospitals
CLEVELAND CLINIC9500 EUCLID AVENUE
CLEVELAND, OH 44195
(216) 952-9829Acute Care Hospitals
HILLCREST HOSPITAL6780 MAYFIELD ROAD
MAYFIELD HEIGHTS, OH 44124
(440) 312-4500Acute 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.
1366405110
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23126801012
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
1144223231DR. TERENCE LEE GUTGSELL M.D.
Individual
Internal Medicine (Hospice and Palliative Medicine)9500 EUCLID AVE
CLEVELAND, OH 44195
(216) 444-2200
1922002575DR. LEONARD JOSEPH HORWITZ MD
Individual
Specialist9500 EUCLID AVE R35
CLEVELAND, OH 44195
(216) 445-2030
1851397004DR. DANIEL CLARK D.O.
Individual
Anesthesiology9500 EUCLID AVE
CLEVELAND, OH 44195
(800) 223-2273
1508862608 CATHERINE NAHAS CRNA
Individual
Nurse Anesthetist, Certified Registered9500 EUCLID AVE
CLEVELAND, OH 44195
(800) 223-2273
1265438139DR. 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
1548260201MRS. ERIN MARIE FELDMAN MSSA, LSW
Individual
Social Worker9500 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
Audiologist9500 EUCLID AVE
CLEVELAND, OH 44195
(216) 986-1313
1144222167MRS. JULIA C JANKO AA-C
Individual
Anesthesiologist Assistant9500 EUCLID AVE
CLEVELAND, OH 44195
(216) 444-2200
1275535031 MICHAEL HARRY HACKETT MD
Individual
Family Medicine9500 EUCLID AVE WH10
CLEVELAND, OH 44195
(216) 444-2200
1770585390DR. ANDREI VERMONT M.D.
Individual
Radiology (Diagnostic Radiology)9500 EUCLID AVE
CLEVELAND, OH 44195
(800) 223-2273
1730171752DR. RAMON MADARA MALAYA JR. M.D.
Individual
Surgery9500 EUCLID AVE ECC-1
CLEVELAND, OH 44195
(440) 204-7439
1275525362DR. 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
Surgery9500 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
1992799902MS. EVELYN M ARAMBASICK APRN, BC
Individual
Registered Nurse9500 EUCLID AVE
CLEVELAND, OH 44195
(216) 444-5037
1235123324 AIDA L MANDAPAT MD
Individual
Pediatrics9500 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.