Active NPI 1487695722 Individual Practitioner Male Practitioner

Dr. James Lehner , MD

Orthopaedic Surgery • Dayton, OH

Professional Overview & Biography Verified Profile Summary

Dr. James Lehner, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Dayton, OH. Practice services are available at 1 CHILDRENS PLZ under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Childrens Plz

Dayton, OH 454041815

Telephone 9376414000

Fax 9376414500

Associated Practice Facility / Clinic

🏢 Dayton Children's Orthopaedic Center For Spinal & Pediatric Care, Llc Facility NPI 1124021324

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Dayton, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 27.2 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

47 Specialists

Practicing in Dayton, OH (984 Statewide)

Telehealth Adoption Rate

6.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.7% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	34	28	$179.00	$62.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$108.00	$33.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	77	50	$179.00	$63.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	28	$108.00	$34.02
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	19	13	$308.70	$83.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$269.00	$80.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	98	67	$179.00	$64.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	38	$108.00	$35.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$269.00	$79.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$270.00	$96.05
20939 Harvest of bone marrow for spine surgery graft	11	11	$136.22	$69.86
22842 Placement of stabilizing device to back, 3-6 spine bone segments	11	11	$6000.00	$767.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	109	75	$179.00	$65.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	30	$108.00	$35.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$269.00	$82.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$270.00	$95.36
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	18	12	$308.70	$79.34
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	18	12	$804.00	$262.91
20939 Harvest of bone marrow for spine surgery graft	17	17	$136.22	$70.79
22633 Fusion of spine in lower back with partial removal of spine bone and disc	12	12	$5628.00	$1873.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	213	128	$179.00	$50.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$269.00	$74.91
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	18	14	$308.70	$91.82
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$267.00	$101.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	187	117	$179.00	$48.04
99213 Established patient office or other outpatient visit, typically 15 minutes	78	61	$179.00	$68.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$269.00	$71.59
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	34	20	$308.70	$79.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$269.00	$95.24
20939 Harvest of bone marrow for spine surgery graft	23	21	$136.22	$64.23
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	23	16	$804.00	$253.64
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	14	14	$2234.12	$828.65
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$6000.00	$749.84
22633 Fusion of spine in lower back with partial removal of spine bone and disc	11	11	$5628.00	$1748.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	117	92	$179.00	$66.65
99213 Established patient office or other outpatient visit, typically 15 minutes	30	28	$179.00	$43.75
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	26	12	$804.00	$240.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$269.00	$99.25
20939 Harvest of bone marrow for spine surgery graft	16	16	$182.13	$68.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$108.00	$40.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$269.00	$71.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	269	155	$179.00	$63.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$269.00	$95.98
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	21	12	$1320.00	$81.70
22633 Fusion of spine in lower back with partial removal of spine bone and disc	14	14	$5628.00	$1509.25

Medical Specialties & State Licenses

CMS Verified: 2023-10-13

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OH 35-036222

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Pediatric Orthopaedic Surgery

NUCC Taxonomy Code: 207XP3100X

State License OH 35-036222

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NUCC Taxonomy Code: 207XS0117X

State License OH 35-036222

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100007970 (IN)

Medicaid State Provider ID

0420039 (OH)

Medicaid State Provider ID

64195126 (KY)

Commercial Insurance / Payer ID Buckeye

746319 (OH)

Commercial Insurance / Payer ID Railroad Medicare

200037198 (OH)

Commercial Insurance / Payer ID Unison

226123 (OH)

Commercial Insurance / Payer ID Caresource

311676182029 (OH)

Commercial Insurance / Payer ID Bc/bs

74482 (OH)

Commercial Insurance / Payer ID Aetna

2263445 (OH)

Commercial Insurance / Payer ID Bcmh

0420039 (OH)

Secondary Practice Locations

3333 W Tech Rd

Miamisburg, OH 453420955

Phone: 9376414000

865 W Market St

Troy, OH 453733837

Phone: 9376414000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Sara Guerrero-Duby , MD

Pediatrics

NPI 1003808007

Doctor of Medicine (M.D.)

Dr. Ramakrishna Mutyala , MD

Pediatrics - Pediatric Gastroenterology

NPI 1013194802

Doctor of Medicine (M.D.)

Seth Kidwell , MSN, FNP-BC

Nurse Practitioner - Family

NPI 1033533484

Master of Science in Nursing, Family Nurse Practitioner (Board Certified)

Dr. Caitlyn Mccomb , MD

Pediatrics - Pediatric Hematology-Oncology

NPI 1033606017

Doctor of Medicine (M.D.)

Savana Howard , MS, NNP-BC

Nurse Practitioner - Neonatal, Critical Care

NPI 1033675962

Master of Science, NNPBC

Lori Milliron , CPNP

Nurse Practitioner - Pediatrics

NPI 1043410830

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Business Mailing Address October 13, 2023

Registered at PO BOX 933432, CLEVELAND, OH 441930039 (Tel: 9376413000)

📍

Updated Practice Location December 23, 2020

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041815 (Tel: 9376414000)

📍

Updated Business Mailing Address December 23, 2020

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041815 (Tel: 9376413000)

👤

Provider Name / Credentials Updated December 23, 2020

Recorded as JAMES LEHNER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2020

Orthopaedic Surgery (License #35-036222 in OH)

📍

Updated Business Mailing Address December 17, 2019

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041873 (Tel: 9376413010)

✅

NPI Profile Active December 14, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location December 14, 2011

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041898 (Tel: 9376413010)

📍

Updated Business Mailing Address December 14, 2011

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041898 (Tel: 9376413010)

👤

Provider Name / Credentials Updated December 14, 2011

Recorded as JAMES LEHNER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2011

Orthopaedic Surgery (License #35-036222 in OH)

🟢

Initial NPI Registration & Enumeration June 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. James Lehner. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1487695722

Entity Type:

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

Enumeration Date: June 09, 2006

Last Update: October 13, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 933432

Cleveland, OH 441930039

Phone: 9376413000

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.