Active NPI 1790737948 Individual Practitioner Male Practitioner

Dr. James Theodore Lainiotis , MD

Internal Medicine • Plainview, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Lainiotis, MD is a certified Internal Medicine practicing in Plainview, NY. With approximately 46 years of clinical experience since completing medical education in 1980, Dr. Lainiotis delivers high-quality medical care to the local community at 654 OLD COUNTRY RD.

Dr. Lainiotis is affiliated with North Shore-Lij Medical Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, 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

654 Old Country Rd

Plainview, NY 118034911

Telephone 5169381414

Fax 5169384659

Associated Practice Facility / Clinic

🏢 The Medical Associates Facility NPI 1740237924

Medicare Profile & Education

Medical School

Other

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Plainview, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +17.7 yrs vs City Avg

City Avg: 28.3 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

40 Specialists

Practicing in Plainview, NY (12979 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lainiotis (46 Years) 46 Yrs

Plainview Specialty Average (28.3 Years) 28.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	563	280	$689.00	$147.94
36415 Insertion of needle into vein for collection of blood sample	445	248	$39.00	$8.53
99213 Established patient office or other outpatient visit, typically 15 minutes	444	267	$494.00	$105.05
93000 Routine ekg using at least 12 leads including interpretation and report	277	248	$139.00	$16.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	208	208	$566.00	$149.29
G0444 Annual depression screening, 5 to 15 minutes	186	186	$91.00	$21.86
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	184	141	$84.00	$18.62
G0008 Administration of influenza virus vaccine	138	132	$107.00	$36.55
90662 Influenza vaccine split virus, preservative free	136	131	$221.00	$80.03
81003 Automated urinalysis test	24	19	$15.00	$2.20
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	19	17	$356.00	$62.59
99496 Transitional care management services for problem of high complexity	17	16	$1193.00	$324.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$917.00	$194.89
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$880.00	$191.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	573	297	$494.00	$105.36
36415 Insertion of needle into vein for collection of blood sample	449	247	$37.66	$8.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	436	245	$689.00	$148.94
93000 Routine ekg using at least 12 leads including interpretation and report	273	242	$139.00	$17.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	195	195	$566.00	$147.89
G0444 Annual depression screening, 5 to 15 minutes	176	176	$91.00	$21.13
G0008 Administration of influenza virus vaccine	121	117	$107.00	$35.98
90662 Influenza vaccine split virus, preservative free	117	113	$210.00	$71.76
G0009 Administration of pneumococcal vaccine	21	21	$107.00	$35.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$917.00	$196.33
93923 Complete ultrasound study of arm and leg arteries	20	20	$1065.00	$157.15
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	17	17	$852.00	$280.90
99496 Transitional care management services for problem of high complexity	14	13	$1193.00	$323.31
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	14	14	$356.00	$61.01
99495 Transitional care management services for problem of at least moderate complexity	13	13	$1118.00	$238.52
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$71.92	$16.20
81003 Automated urinalysis test	12	11	$15.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	503	263	$494.00	$109.66
36415 Insertion of needle into vein for collection of blood sample	468	265	$14.00	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	425	228	$689.00	$153.07
93000 Routine ekg using at least 12 leads including interpretation and report	261	237	$139.00	$17.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	195	195	$566.00	$155.89
G0444 Annual depression screening, 5 to 15 minutes	174	174	$91.00	$22.25
G0008 Administration of influenza virus vaccine	139	139	$107.00	$35.31
90662 Influenza vaccine split virus, preservative free	132	132	$196.00	$68.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	44	$317.11	$69.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$917.00	$203.25
81003 Automated urinalysis test	22	19	$15.00	$2.22
G0009 Administration of pneumococcal vaccine	22	22	$107.00	$35.52
93923 Complete ultrasound study of arm and leg arteries	19	19	$1065.00	$164.54
99496 Transitional care management services for problem of high complexity	16	15	$1193.00	$334.29

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	595	262	$475.44	$157.39
36415 Insertion of needle into vein for collection of blood sample	554	281	$14.00	$2.99
99213 Established patient office or other outpatient visit, typically 15 minutes	447	237	$383.00	$111.15
93000 Routine ekg using at least 12 leads including interpretation and report	248	221	$139.00	$18.37
G0008 Administration of influenza virus vaccine	154	154	$107.00	$20.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	152	152	$566.00	$160.51
90662 Influenza vaccine split virus, preservative free	146	146	$183.00	$65.26
G0444 Annual depression screening, 5 to 15 minutes	135	135	$91.00	$22.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	51	$199.00	$68.51
99497 Advance care planning, first 30 minutes	58	58	$445.00	$101.93
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	49	11	$115.00	$17.15
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	49	11	$12.00	$1.99
81003 Automated urinalysis test	24	20	$15.00	$2.25
G0009 Administration of pneumococcal vaccine	20	20	$107.00	$20.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	17	$641.00	$219.82
99496 Transitional care management services for problem of high complexity	14	12	$1193.00	$336.64
93923 Complete ultrasound study of arm and leg arteries	13	13	$1065.00	$167.84
99495 Transitional care management services for problem of at least moderate complexity	13	13	$847.00	$248.52
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$360.00	$124.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	687	294	$220.39	$90.42
36415 Insertion of needle into vein for collection of blood sample	472	260	$19.87	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	413	240	$330.07	$130.61
93000 Routine ekg using at least 12 leads including interpretation and report	325	253	$107.26	$20.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	184	184	$366.25	$138.08
G0444 Annual depression screening, 5 to 15 minutes	158	158	$67.65	$21.80
G0008 Administration of influenza virus vaccine	141	141	$107.00	$19.75
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	91	91	$30.00	$17.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	77	$179.88	$55.81
99497 Advance care planning, first 30 minutes	58	58	$445.00	$101.50
93923 Complete ultrasound study of arm and leg arteries	57	57	$275.88	$164.12
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	45	45	$183.00	$61.00
90662 Influenza vaccine split virus, preservative free	41	41	$169.00	$60.98
G0009 Administration of pneumococcal vaccine	36	36	$83.00	$19.66
90653 Vaccine for influenza for injection into muscle	30	30	$179.00	$59.53
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	23	23	$213.61	$106.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	19	$487.61	$175.15
99354 Prolonged office or other outpatient service first hour	18	18	$150.00	$150.22
81002 Urinalysis, manual test	17	11	$24.53	$3.44
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	15	15	$85.00	$29.23
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	14	$35.36	$16.27
99496 Transitional care management services for problem of high complexity	13	13	$706.77	$290.86
90670 Pneumococcal vaccine for injection into muscle	13	13	$644.00	$230.14
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	12	12	$110.00	$21.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,234	361	$124.99	$86.21
36415 Insertion of needle into vein for collection of blood sample	478	267	$25.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	419	240	$165.00	$125.30
93000 Routine ekg using at least 12 leads including interpretation and report	336	261	$84.99	$18.96
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	210	210	$30.00	$17.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	209	209	$175.00	$134.34
G0444 Annual depression screening, 5 to 15 minutes	207	207	$50.00	$21.00
G0008 Administration of influenza virus vaccine	199	197	$40.00	$19.35
93923 Complete ultrasound study of arm and leg arteries	191	191	$200.00	$161.60
90653 Vaccine for influenza for injection into muscle	145	145	$75.00	$58.34
G0009 Administration of pneumococcal vaccine	63	63	$35.00	$19.35
99354 Prolonged office or other outpatient service first hour	62	57	$150.00	$147.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	43	$100.00	$52.94
80061 Blood test, lipids (cholesterol and triglycerides)	51	38	$30.00	$14.58
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	50	50	$49.80	$27.33
83036 Hemoglobin A1C level	49	35	$30.00	$10.57
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	39	33	$30.00	$16.20
87804 Detection test by immunoassay with direct visual observation for influenza virus	36	19	$40.00	$16.22
81002 Urinalysis, manual test	36	26	$25.00	$3.41
90670 Pneumococcal vaccine for injection into muscle	33	33	$225.00	$207.08
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	30	30	$95.00	$93.10
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	25	23	$125.00	$61.91
99496 Transitional care management services for problem of high complexity	24	21	$290.00	$267.72
99495 Transitional care management services for problem of at least moderate complexity	17	15	$200.00	$189.62
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$250.00	$188.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,121	363	$125.00	$80.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	468	258	$165.00	$117.36
36415 Insertion of needle into vein for collection of blood sample	429	251	$25.00	$2.94
93000 Routine ekg using at least 12 leads including interpretation and report	365	300	$84.95	$17.83
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	216	216	$175.00	$127.44
G0444 Annual depression screening, 5 to 15 minutes	215	215	$50.00	$19.75
G0008 Administration of influenza virus vaccine	202	202	$40.00	$23.89
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	200	200	$30.00	$19.25
93923 Complete ultrasound study of arm and leg arteries	195	195	$199.90	$156.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	122	95	$100.00	$48.70
90653 Vaccine for influenza for injection into muscle	110	110	$65.00	$53.58
90662 Influenza vaccine split virus, preservative free	85	85	$65.00	$52.30
80061 Blood test, lipids (cholesterol and triglycerides)	60	47	$30.00	$16.20
83036 Hemoglobin A1C level	58	45	$30.00	$11.75
G0009 Administration of pneumococcal vaccine	45	45	$35.00	$24.01
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	44	15	$75.00	$45.84
99354 Prolonged office or other outpatient service first hour	43	37	$150.00	$140.88
90670 Pneumococcal vaccine for injection into muscle	35	35	$215.00	$198.59
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	32	23	$125.00	$59.19
81002 Urinalysis, manual test	31	27	$25.00	$3.41
87804 Detection test by immunoassay with direct visual observation for influenza virus	28	27	$40.00	$16.22
99496 Transitional care management services for problem of high complexity	23	18	$290.00	$254.07
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	23	20	$30.00	$16.20
94010 Test to measure expiratory airflow and volume	16	16	$125.00	$40.76
G0179 Physician re-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 to affirm the initial imp	13	13	$125.00	$46.06
99495 Transitional care management services for problem of at least moderate complexity	13	13	$200.00	$179.86
82270 Stool analysis for blood to screen for colon tumors	12	12	$30.00	$4.29
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$250.00	$153.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,135	358	$124.98	$81.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	346	212	$165.00	$119.85
36415 Insertion of needle into vein for collection of blood sample	339	211	$25.00	$2.94
93000 Routine ekg using at least 12 leads including interpretation and report	295	249	$84.73	$18.12
G0008 Administration of influenza virus vaccine	194	188	$40.00	$29.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	177	177	$175.00	$128.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	174	158	$100.00	$49.39
93923 Complete ultrasound study of arm and leg arteries	166	166	$199.00	$158.95
G0444 Annual depression screening, 5 to 15 minutes	156	156	$50.00	$20.13
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	143	143	$30.00	$21.38
90662 Influenza vaccine split virus, preservative free	118	118	$60.00	$48.05
80061 Blood test, lipids (cholesterol and triglycerides)	86	71	$30.00	$18.00
85610 Blood test, clotting time	85	14	$30.00	$5.28
83036 Hemoglobin A1C level	71	60	$30.00	$13.05
Q2039 Influenza virus vaccine, not otherwise specified	65	65	$45.00	$22.33
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	57	12	$30.00	$29.01
G0009 Administration of pneumococcal vaccine	49	49	$35.00	$29.93
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	38	16	$75.00	$46.86
81002 Urinalysis, manual test	34	19	$25.00	$3.43
90670 Pneumococcal vaccine for injection into muscle	30	30	$200.00	$182.36
99496 Transitional care management services for problem of high complexity	28	25	$290.00	$257.40
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	26	24	$30.00	$11.75
99354 Prolonged office or other outpatient service first hour	20	20	$145.00	$138.47
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$90.00	$88.18
94010 Test to measure expiratory airflow and volume	19	19	$118.88	$39.58
G0179 Physician re-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 to affirm the initial imp	19	14	$125.00	$46.63
92552 Test for hearing various pitches using earphone	18	18	$71.26	$35.30
87804 Detection test by immunoassay with direct visual observation for influenza virus	15	15	$40.00	$11.75
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$250.00	$154.03
99495 Transitional care management services for problem of at least moderate complexity	12	12	$200.00	$182.52
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	12	11	$125.00	$60.42

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NY 157646

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

00965811 (NY)

Hospital & Practice Group Affiliations

North Shore-Lij Medical Pc

522 Old Country Rd, Plainview, NY 118036502

Phone: 5169381414

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Irene Lainiotis , MD

Internal Medicine

NPI 1174051577

Doctor of Medicine (M.D.)

Dr. George Karagiannis , MD

Internal Medicine

NPI 1336196351

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 19, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location March 19, 2010

Registered at 654 OLD COUNTRY RD, PLAINVIEW, NY 118034911 (Tel: 5169381414)

📍

Updated Business Mailing Address March 19, 2010

Registered at 654 OLD COUNTRY RD, PLAINVIEW, NY 118034911 (Tel: 5169381414)

👤

Provider Name / Credentials Updated March 19, 2010

Recorded as JAMES LAINIOTIS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2010

Internal Medicine (License #157646 in NY)

🟢

Initial NPI Registration & Enumeration May 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1790737948

Entity Type:

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

Enumeration Date: May 16, 2006

Last Update: March 19, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

654 Old Country Rd

Plainview, NY 118034911

Phone: 5169381414

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

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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.