Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407866270 Individual Practitioner Male Practitioner

Dr. James M Lafata , MD

Internal Medicine • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Dr. James Lafata, MD is a registered healthcare professional specializing in Internal Medicine in Springfield, IL. Practice services are available at 2901 OLD JACKSONVILLE RD under active NPI credentials.

Frequently performed procedures and clinical services include residence visit for established patient with low level of medical decision making, per day, if using time, at least, residence visit for established patient with straightforward medical decision making, per day, if using time, at least, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2901 Old Jacksonville Rd

Springfield, IL 627047437

Telephone 2176989722
Fax 2173910392
Associated Practice Facility / Clinic
🏢 Pavilion Pharmacy West Facility NPI 1063483451

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.1 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
206 Specialists

Practicing in Springfield, IL (7544 Statewide)

Telehealth Adoption Rate
4.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
209 50 $163.00 $75.16
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes
129 40 $108.00 $44.06
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
25 13 $241.00 $126.21

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036064343

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036064343 (IL)
Commercial Insurance / Payer ID Il State License
036064343 (IL)
Commercial Insurance / Payer ID Health Alliance
091117 (IL)
Commercial Insurance / Payer ID Healthlink
100843 (IL)
Commercial Insurance / Payer ID Clia
14D0949277 (IL)
Commercial Insurance / Payer ID Black Lung
020057300 (IL)
Commercial Insurance / Payer ID Rr Medicare Pin
P00144455 (IL)
Commercial Insurance / Payer ID Bc/bs
08421024 (IL)
Commercial Insurance / Payer ID Caterpillar
6394P (IL)
Commercial Insurance / Payer ID Rr Medicare Group
CD7143 (IL)

Practice Associates & Co-Workers

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

26 Associated Practitioners
Dr. William Yu , MD

Internal Medicine

NPI 1003903931

Doctor of Medicine (M.D.)

NPI 1013395250
Suzanne Morphew , CFNP

Nurse Practitioner

NPI 1083942502
Dr. Ingrid Alexander , MD

Allergy & Immunology

NPI 1144269531

Doctor of Medicine (M.D.)

Dr. Abdur Nawoor , MD

Internal Medicine

NPI 1154331684

Doctor of Medicine (M.D.)

Maresa Mckraken , RN

Registered Nurse - Continuing Education/Staff Development

NPI 1215863626

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 26, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2014

Registered at 2901 OLD JACKSONVILLE RD, SPRINGFIELD, IL 627047437 (Tel: 2176989722)

📍
Updated Business Mailing Address September 26, 2014

Registered at PO BOX 500, CHATHAM, IL 626290500 (Tel: 2176702424)

👤
Provider Name / Credentials Updated September 26, 2014

Recorded as JAMES LAFATA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2014

Internal Medicine (License #036064343 in IL)

🟢
Initial NPI Registration & Enumeration August 08, 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: 1407866270
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2006
Last Update: September 26, 2014
Sole Proprietor: No

Mailing Address

Po Box 500

Chatham, IL 626290500

Phone: 2176702424

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.