Active NPI 1336375211 Individual Practitioner Female Practitioner

Dr. Lori Lynn Sinclair , MD

Pathology - Anatomic Pathology & Clinical Pathology • Waterloo, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lori Sinclair, MD is a certified Pathology - Anatomic Pathology & Clinical Pathology practicing in Waterloo, IA. With approximately 17 years of clinical experience since graduating from University Of Iowa, Rj & L Carver College Of Medicine in 2009, Dr. Sinclair delivers high-quality medical care to the local community at 3421 W 9TH ST.

Dr. Sinclair is affiliated with Cedar Valley Pathologists Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include pathology examination of tissue using a microscope, intermediate complexity, cell examination of specimen, concentration technique, special stained specimen slides to examine tissue, initial procedure. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3421 W 9th St

Waterloo, IA 507025401

Telephone 3192728000

Fax 3192728850

Associated Practice Facility / Clinic

🏢 Clinical Pathology Associates, Pc Facility NPI 1548228448

Medicare Profile & Education

Medical School

University Of Iowa, Rj & L Carver College Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pathology - Anatomic Pathology & Clinical Pathology in Waterloo, IA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -9.0 yrs vs City Avg

City Avg: 26.0 Yrs

State Avg: 24.0 Yrs

Regional Practice Density

5 Specialists

Practicing in Waterloo, IA (178 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sinclair (17 Years) 17 Yrs

Waterloo Specialty Average (26.0 Years) 26.0 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
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,310	699	$245.00	$34.75
88108 Cell examination of specimen, concentration technique	283	231	$102.00	$20.84
88342 Special stained specimen slides to examine tissue, initial procedure	200	167	$129.00	$32.53
88173 Evaluation of fine needle aspirate with interpretation and report	173	124	$256.00	$64.75
88341 Special stained specimen slides to examine tissue	172	73	$75.00	$26.03
88361 Microscopic genetic analysis of tumor, using computer-assisted technology	166	41	$186.00	$40.79
88307 Pathology examination of tissue using a microscope, moderately high complexity	126	97	$369.29	$76.10
88304 Pathology examination of tissue using a microscope, moderately low complexity	108	101	$165.00	$10.49
88172 Evaluation of fine needle aspirate	103	67	$185.00	$32.62
88333 Pathology cytologic examination of specimen during surgery, initial site	56	51	$223.00	$57.17
88360 Microscopic genetic analysis of tumor	50	14	$185.12	$38.09
88311 Preparation of tissue for examination by removing any calcium present	48	38	$70.00	$10.94
88363 Examination of archival tissue for genetic analysis	44	44	$68.00	$17.78
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	39	39	$450.00	$165.67
88312 Special stained specimen slides to identify organisms including interpretation and report	31	21	$73.00	$24.74
88313 Special stained specimen slides to examine tissue including interpretation and report	29	12	$65.00	$11.15
84165 Protein measurement, serum	28	28	$56.00	$16.71
88309 Pathology examination of tissue using a microscope, high complexity	19	19	$580.79	$134.16
86334 Immunologic analysis technique on serum (immunofixation)	13	12	$60.00	$16.74
76098 X-ray of surgical specimen	12	11	$35.00	$14.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,273	664	$245.00	$35.10
88108 Cell examination of specimen, concentration technique	346	282	$102.00	$21.03
88341 Special stained specimen slides to examine tissue	223	70	$75.00	$26.62
88173 Evaluation of fine needle aspirate with interpretation and report	194	138	$256.00	$65.79
88342 Special stained specimen slides to examine tissue, initial procedure	169	144	$129.00	$32.84
88361 Microscopic genetic analysis of tumor, using computer-assisted technology	160	43	$186.00	$41.34
88307 Pathology examination of tissue using a microscope, moderately high complexity	138	100	$345.00	$77.26
88172 Evaluation of fine needle aspirate	118	76	$185.00	$33.43
88304 Pathology examination of tissue using a microscope, moderately low complexity	96	90	$165.00	$10.56
88333 Pathology cytologic examination of specimen during surgery, initial site	69	61	$223.00	$58.12
88311 Preparation of tissue for examination by removing any calcium present	47	38	$70.00	$11.57
88363 Examination of archival tissue for genetic analysis	36	35	$68.00	$18.25
88312 Special stained specimen slides to identify organisms including interpretation and report	34	17	$73.00	$24.13
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	30	29	$450.00	$167.87
88313 Special stained specimen slides to examine tissue including interpretation and report	25	14	$65.00	$11.28
84165 Protein measurement, serum	19	18	$56.00	$16.41
88331 Pathology examination of specimen during surgery, first tissue block	18	15	$215.00	$58.33
88309 Pathology examination of tissue using a microscope, high complexity	17	17	$550.00	$136.27
76098 X-ray of surgical specimen	16	16	$35.00	$14.38
88300 Pathology examination of tissue using a microscope, limited examination	14	14	$41.00	$4.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	987	584	$245.00	$35.98
88108 Cell examination of specimen, concentration technique	276	234	$102.00	$21.52
88341 Special stained specimen slides to examine tissue	214	79	$79.91	$26.99
88342 Special stained specimen slides to examine tissue, initial procedure	180	150	$129.00	$33.38
88307 Pathology examination of tissue using a microscope, moderately high complexity	166	109	$342.92	$78.94
88173 Evaluation of fine needle aspirate with interpretation and report	152	119	$256.00	$67.25
88361 Microscopic genetic analysis of tumor, using computer-assisted technology	152	37	$188.45	$41.83
88304 Pathology examination of tissue using a microscope, moderately low complexity	95	89	$165.00	$10.84
88172 Evaluation of fine needle aspirate	63	50	$185.00	$33.93
88333 Pathology cytologic examination of specimen during surgery, initial site	61	54	$223.00	$59.16
88312 Special stained specimen slides to identify organisms including interpretation and report	56	28	$73.00	$25.25
88311 Preparation of tissue for examination by removing any calcium present	50	38	$70.00	$11.86
88313 Special stained specimen slides to examine tissue including interpretation and report	40	16	$65.00	$11.55
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	28	28	$450.00	$170.70
88363 Examination of archival tissue for genetic analysis	25	25	$68.00	$18.35
76098 X-ray of surgical specimen	24	22	$35.00	$14.72
88300 Pathology examination of tissue using a microscope, limited examination	20	20	$41.00	$4.15
88309 Pathology examination of tissue using a microscope, high complexity	19	19	$527.89	$139.07
84165 Protein measurement, serum	17	17	$56.00	$17.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,025	591	$245.00	$36.43
88108 Cell examination of specimen, concentration technique	309	260	$102.00	$21.79
88341 Special stained specimen slides to examine tissue	262	76	$75.00	$27.60
88173 Evaluation of fine needle aspirate with interpretation and report	165	122	$256.00	$68.22
88342 Special stained specimen slides to examine tissue, initial procedure	154	126	$129.00	$34.07
88307 Pathology examination of tissue using a microscope, moderately high complexity	147	106	$345.00	$80.13
88304 Pathology examination of tissue using a microscope, moderately low complexity	97	92	$165.00	$10.99
88361 Microscopic genetic analysis of tumor, using computer-assisted technology	88	24	$186.00	$42.79
88172 Evaluation of fine needle aspirate	66	46	$185.00	$34.67
88333 Pathology cytologic examination of specimen during surgery, initial site	64	58	$223.00	$60.21
88313 Special stained specimen slides to examine tissue including interpretation and report	57	19	$65.00	$11.69
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	39	39	$450.00	$172.88
88311 Preparation of tissue for examination by removing any calcium present	37	30	$70.00	$12.00
88360 Microscopic genetic analysis of tumor	33	13	$178.00	$40.88
88312 Special stained specimen slides to identify organisms including interpretation and report	28	15	$73.00	$25.95
88363 Examination of archival tissue for genetic analysis	27	24	$68.00	$18.51
88300 Pathology examination of tissue using a microscope, limited examination	25	23	$41.00	$4.21
88177 Pap test, evaluation of fine needle aspirate, immediate, each additional evaluation episode	24	19	$128.00	$21.13
76098 X-ray of surgical specimen	19	16	$35.00	$14.91
88309 Pathology examination of tissue using a microscope, high complexity	14	14	$490.00	$141.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	972	572	$231.31	$37.84
88341 Special stained specimen slides to examine tissue	177	65	$75.43	$28.36
88342 Special stained specimen slides to examine tissue, initial procedure	133	115	$129.49	$35.28
88307 Pathology examination of tissue using a microscope, moderately high complexity	115	87	$353.35	$83.08
88173 Evaluation of fine needle aspirate with interpretation and report	104	91	$254.31	$70.66
88304 Pathology examination of tissue using a microscope, moderately low complexity	99	93	$158.49	$11.33
88108 Cell examination of specimen, concentration technique	70	58	$102.00	$22.49
88361 Microscopic genetic analysis of tumor, using computer-assisted technology	61	16	$192.10	$43.48
88311 Preparation of tissue for examination by removing any calcium present	57	41	$65.93	$12.38
88333 Pathology cytologic examination of specimen during surgery, initial site	46	45	$221.87	$62.75
88360 Microscopic genetic analysis of tumor	38	14	$176.97	$41.53
88312 Special stained specimen slides to identify organisms including interpretation and report	29	18	$75.14	$26.84
88172 Evaluation of fine needle aspirate	24	21	$184.25	$36.01
88112 Cell examination of specimen, selective cellular enhancement technique	23	23	$233.00	$27.60
88313 Special stained specimen slides to examine tissue including interpretation and report	21	11	$80.95	$12.04
88331 Pathology examination of specimen during surgery, first tissue block	20	11	$219.00	$62.24
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	17	17	$469.76	$179.12
88309 Pathology examination of tissue using a microscope, high complexity	14	14	$490.00	$146.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	996	510	$187.00	$37.31
88112 Cell examination of specimen, selective cellular enhancement technique	120	101	$233.00	$27.74
88342 Special stained specimen slides to examine tissue, initial procedure	104	92	$134.00	$35.11
88341 Special stained specimen slides to examine tissue	84	32	$85.00	$28.38
88307 Pathology examination of tissue using a microscope, moderately high complexity	61	33	$441.00	$82.10
88304 Pathology examination of tissue using a microscope, moderately low complexity	49	43	$119.00	$11.06
88331 Pathology examination of specimen during surgery, first tissue block	39	28	$220.00	$61.95
88360 Microscopic genetic analysis of tumor	38	15	$165.00	$42.03
88173 Evaluation of fine needle aspirate with interpretation and report	36	28	$212.00	$70.00
88374 Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure	33	16	$135.00	$44.06
88311 Preparation of tissue for examination by removing any calcium present	30	25	$41.00	$12.21
88313 Special stained specimen slides to examine tissue including interpretation and report	25	15	$132.00	$11.52
88172 Evaluation of fine needle aspirate	22	16	$176.00	$35.71
88312 Special stained specimen slides to identify organisms including interpretation and report	19	17	$135.00	$24.83
88333 Pathology cytologic examination of specimen during surgery, initial site	14	13	$197.00	$61.98
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	13	13	$618.00	$176.59
88141 Pap test (Pap smear)	13	13	$77.00	$30.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,099	579	$187.00	$37.62
88112 Cell examination of specimen, selective cellular enhancement technique	135	110	$233.00	$28.04
88341 Special stained specimen slides to examine tissue	123	39	$85.00	$28.34
88342 Special stained specimen slides to examine tissue, initial procedure	121	112	$134.00	$35.39
88304 Pathology examination of tissue using a microscope, moderately low complexity	57	56	$119.00	$11.47
88307 Pathology examination of tissue using a microscope, moderately high complexity	56	40	$441.00	$81.49
88311 Preparation of tissue for examination by removing any calcium present	41	33	$41.00	$12.51
88331 Pathology examination of specimen during surgery, first tissue block	36	25	$220.00	$62.85
88313 Special stained specimen slides to examine tissue including interpretation and report	35	22	$132.00	$11.87
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	34	34	$618.00	$174.29
88374 Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure	34	13	$135.00	$44.01
88173 Evaluation of fine needle aspirate with interpretation and report	21	19	$212.00	$70.90
88333 Pathology cytologic examination of specimen during surgery, initial site	21	18	$197.00	$62.92
88141 Pap test (Pap smear)	18	18	$77.00	$30.66
88312 Special stained specimen slides to identify organisms including interpretation and report	14	13	$135.00	$26.72
85097 Bone marrow, smear interpretation	12	12	$185.00	$48.19
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers	11	11	$411.00	$83.59
88300 Pathology examination of tissue using a microscope, limited examination	11	11	$39.00	$4.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,012	576	$191.07	$37.28
88304 Pathology examination of tissue using a microscope, moderately low complexity	97	91	$139.77	$11.38
88305 Pathology examination of tissue using a microscope, intermediate complexity	94	65	$195.55	$37.44
88342 Special stained specimen slides to examine tissue, initial procedure	90	82	$138.06	$34.84
88341 Special stained specimen slides to examine tissue	82	22	$67.63	$28.02
88112 Cell examination of specimen, selective cellular enhancement technique	69	62	$228.64	$27.20
88312 Special stained specimen slides to identify organisms including interpretation and report	49	37	$113.24	$26.69
88307 Pathology examination of tissue using a microscope, moderately high complexity	48	36	$368.67	$82.45
88331 Pathology examination of specimen during surgery, first tissue block	32	19	$218.75	$61.39
88311 Preparation of tissue for examination by removing any calcium present	32	26	$46.00	$12.36
88313 Special stained specimen slides to examine tissue including interpretation and report	31	14	$118.84	$11.67
85060 Blood smear interpretation by physician with written report	27	27	$75.70	$23.85
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	26	26	$460.00	$176.63
88300 Pathology examination of tissue using a microscope, limited examination	15	15	$31.40	$4.23
88173 Evaluation of fine needle aspirate with interpretation and report	14	11	$216.57	$69.48

Medical Specialties & State Licenses

Pathology - Anatomic Pathology & Clinical Pathology Primary Specialty

NUCC Taxonomy Code: 207ZP0102X

State License IA 40779

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Pathology - Anatomic Pathology

NUCC Taxonomy Code: 207ZP0101X

State License IA 40779

Pathology - Anatomic Pathology & Clinical Pathology

NUCC Taxonomy Code: 207ZP0102X

State License IA R-8681

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1336375211 (MN)

Commercial Insurance / Payer ID Ucare

203758 (IA)

Hospital & Practice Group Affiliations

Cedar Valley Pathologists Pc

1026 A Ave Ne, Cedar Rapids, IA 524025036

Phone: 3193697002

Secondary Practice Locations

116 E 11th St Ste 204

Spencer, IA 513014363

Phone: 7122623795

Practice Associates & Co-Workers

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

22 Associated Practitioners

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Advanced Practice Midwife

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Certified Nurse Midwife

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Physical Medicine & Rehabilitation

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Doctor of Medicine (M.D.)

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Emergency Medicine

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Doctor of Osteopathic Medicine (D.O.)

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Podiatrist

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Doctor of Podiatric Medicine

Elizabeth Ackerson , ARNP

Nurse Practitioner

NPI 1225485097

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location March 21, 2018

Registered at 3421 W 9TH ST, WATERLOO, IA 507025401 (Tel: 3192728000)

📍

Updated Business Mailing Address March 21, 2018

Registered at 3421 W 9TH ST, WATERLOO, IA 507025401 (Tel: 3192728000)

✅

NPI Profile Active July 02, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 02, 2014

Registered at 116 E 11TH ST STE 204, SPENCER, IA 513014363 (Tel: 7122623795)

📍

Updated Business Mailing Address July 02, 2014

Registered at 116 E 11TH ST STE 204, SPENCER, IA 513014363 (Tel: 7122623795)

👤

Provider Name / Credentials Updated July 02, 2014

Recorded as LORI SINCLAIR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2014

Pathology (License #40779 in IA)

🟢

Initial NPI Registration & Enumeration June 04, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1336375211

Entity Type:

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

Enumeration Date: June 04, 2009

Last Update: March 21, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3421 W 9th St

Waterloo, IA 507025401

Phone: 3192728000

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.