Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174881775 Individual Practitioner Female Practitioner

Lara Kathleen Divins

Physician Assistant • Tionesta, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lara Divins is a certified Physician Assistant practicing in Tionesta, PA. With approximately 9 years of clinical experience since completing medical education in 2017, Lara Divins delivers high-quality medical care to the local community at 111 BRIDGE ST.

Lara Divins maintains professional affiliations with Titusville Area Hospital, Titusville Area Health Services, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

111 Bridge St

Tionesta, PA 163539737

Telephone 8147553631
Fax 8147553633
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tionesta, PA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs Matches City Avg
City Avg: 9.0 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Tionesta, PA (8068 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
39.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Divins (9 Years) 9 Yrs
Tionesta Specialty Average (9.0 Years) 9.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
37 20 $165.00 $103.07
99213 Established patient office or other outpatient visit, typically 15 minutes
23 19 $145.00 $70.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
18 18 $145.00 $98.49
36415 Insertion of needle into vein for collection of blood sample
13 13 $9.00 $8.65

Medical Specialties & State Licenses

CMS Verified: 2021-05-31
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Specialist/Technologist - Athletic Trainer

NUCC Taxonomy Code: 2255A2300X

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Hospital & Practice Group Affiliations

Titusville Area Hospital

111 Bridge St, Tionesta, PA 163539737

Phone: 8147553631

Titusville Area Health Services, Inc.

115 Main St, Tidioute, PA 163511062

Phone: 8144843096

Secondary Practice Locations

809 N Monroe St

Titusville, PA 163541113

Phone: 8147587676

115 Main St

Tidioute, PA 163511062

Phone: 8144843096

116 Central Ave

Oil City, PA 163012736

Phone: 8146760431

Practice Associates & Co-Workers

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

4 Associated Practitioners
Mary Peterson , COTA, L

Occupational Therapy Assistant

NPI 1073900643

Certified Occupational Therapy Assistant, L

Dr. Bradley Rapp , PT, DPT

Physical Therapist

NPI 1265824916

Physical Therapist, Doctor of Physical Therapy

Tabbitha Nason , OTR, L

Occupational Therapist

NPI 1417381930

Occupational Therapist Registered, L

Joshua Griffin , PTA

Physical Therapy Assistant

NPI 1619369493

Physical Therapist Assistant

Career & Practice History Timeline

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

15 Historical Events
👤
Provider Name / Credentials Updated May 31, 2021

Recorded as LARA DIVINS

📍
Updated Practice Location April 01, 2019

Registered at 111 BRIDGE ST, TIONESTA, PA 163539737 (Tel: 8147553631)

📍
Updated Business Mailing Address April 01, 2019

Registered at 406 W OAK ST, TITUSVILLE, PA 163541404 (Tel: 8147553631)

NPI Profile Active July 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2017

Registered at 1 PARK WAY, SENECA, PA 16346 (Tel: 8146765444)

📍
Updated Business Mailing Address July 18, 2017

Registered at 809 N MONROE ST, TITUSVILLE, PA 163541113 (Tel: (814) 758-7676)

👤
Provider Name / Credentials Updated July 18, 2017

Recorded as LARA JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2017

Specialist/Technologist

👤
Provider Name / Credentials Updated June 15, 2017

Recorded as LARA JOHNSON, PA-C, ATC

NPI Profile Active May 02, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2012

Registered at 809 N MONROE ST, TITUSVILLE, PA 163541113 (Tel: 8147587676)

📍
Updated Business Mailing Address May 02, 2012

Registered at 809 N MONROE ST, TITUSVILLE, PA 163541113 (Tel: 8147587676)

👤
Provider Name / Credentials Updated May 02, 2012

Recorded as LARA JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2012

Specialist/Technologist

🟢
Initial NPI Registration & Enumeration May 02, 2012

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: 1174881775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2012
Last Update: May 31, 2021
Sole Proprietor: Yes

Mailing Address

406 W Oak St

Titusville, PA 163541404

Phone: 8147553631

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.