Active NPI 1699862912 Individual Practitioner Female Practitioner

Lani Frances Ralston , ANP

Nurse Practitioner • Wethersfield, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lani Ralston, ANP is a certified Nurse Practitioner practicing in Wethersfield, CT. With approximately 20 years of clinical experience since graduating from University Of Connecticut School Of Medicine in 2006, Lani Ralston delivers high-quality medical care to the local community at 1260 SILAS DEANE HWY.

Lani Ralston is affiliated with Middlesex Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1260 Silas Deane Hwy

Wethersfield, CT 061094362

Telephone 8607215731

Associated Practice Facility / Clinic

🏢 Connecticut Surgical Group, Pc Facility NPI 1225011927

Medicare Profile & Education

Medical School

University Of Connecticut School Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Wethersfield, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +8.0 yrs vs City Avg

City Avg: 12.0 Yrs

State Avg: 11.4 Yrs

Regional Practice Density

12 Specialists

Practicing in Wethersfield, CT (941 Statewide)

Telehealth Adoption Rate

41.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ralston (20 Years) 20 Yrs

Wethersfield Specialty Average (12.0 Years) 12.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	68	68	$443.00	$188.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	23	$307.00	$159.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$229.47	$112.72
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$163.75	$80.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	167	110	$220.00	$115.79
99213 Established patient office or other outpatient visit, typically 15 minutes	61	47	$155.00	$78.55
93000 Routine ekg using at least 12 leads including interpretation and report	36	34	$71.39	$13.29
G0008 Administration of influenza virus vaccine	24	24	$35.00	$32.50
90662 Influenza vaccine split virus, preservative free	22	22	$85.00	$71.93
G0442 Annual alcohol misuse screening, 5 to 15 minutes	17	17	$25.00	$17.10
G0444 Annual depression screening, 5 to 15 minutes	17	17	$25.00	$17.10
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$285.00	$117.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	162	125	$136.80	$82.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	85	$197.73	$118.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$244.52	$120.95
93000 Routine ekg using at least 12 leads including interpretation and report	20	20	$66.00	$13.34
G0008 Administration of influenza virus vaccine	14	14	$35.00	$31.97
81003 Automated urinalysis test	14	14	$7.79	$2.24
90662 Influenza vaccine split virus, preservative free	13	13	$85.00	$68.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$83.18	$48.80
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$185.00	$49.37
G0442 Annual alcohol misuse screening, 5 to 15 minutes	11	11	$25.00	$17.53
G0444 Annual depression screening, 5 to 15 minutes	11	11	$25.00	$17.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	257	163	$126.00	$85.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	38	$80.00	$52.57
93000 Routine ekg using at least 12 leads including interpretation and report	26	24	$65.00	$13.82
81003 Automated urinalysis test	25	24	$8.00	$2.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$200.00	$123.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$190.00	$120.67
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	13	$185.00	$49.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	137	89	$126.00	$69.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	31	$80.00	$43.01
99441 Telephone medical discussion with physician, 5-10 minutes	27	24	$80.00	$42.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$205.00	$101.01
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$65.00	$16.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$190.00	$101.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	139	136	$492.00	$165.63
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	43	43	$556.00	$138.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	25	$487.19	$91.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$359.00	$112.30

Medical Specialties & State Licenses

CMS Verified: 2022-07-08

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CT 003477

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1699862912 (CT)

Hospital & Practice Group Affiliations

Middlesex Hospital

80 S Main St, Middletown, CT 064573648

Phone: 8603586878

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Christine Daniels , MS, APRN, AGNP-C

Nurse Practitioner - Adult Health

NPI 1457157877

Master of Science, Advanced Practice Registered Nurse, Adult-Gerontology Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location July 08, 2022

Registered at 1260 SILAS DEANE HWY, WETHERSFIELD, CT 061094362 (Tel: 8607215731)

📍

Updated Business Mailing Address July 08, 2022

Registered at 46 W AVON RD STE 301, AVON, CT 060013679 (Tel: 8604042047)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2022

Nurse Practitioner (License #003477 in CT)

✅

NPI Profile Active March 21, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 21, 2016

Registered at 315 MEDICAL PARK DR, SUITE 202, CONCORD, NC 280252973 (Tel: 7044031911)

📍

Updated Business Mailing Address March 21, 2016

Registered at 315 MEDICAL PARK DR, SUITE 202, CONCORD, NC 280252973 (Tel: 7044031911)

👤

Provider Name / Credentials Updated March 21, 2016

Recorded as LANI RALSTON, ANP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2016

Nurse Practitioner (License #276948 in NC)

🟢

Initial NPI Registration & Enumeration October 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699862912

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 06, 2006

Last Update: July 08, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

46 W Avon Rd Ste 301

Avon, CT 060013679

Phone: 8604042047

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.