Doctor profile · Federal record

Dr. Tedric Lolis, PA-C

Surgical Physician Assistant (CMS: Physician Assistant) · Martinsburg, WV

  • NPI 1114660289
  • Accepts Medicare
  • 5 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1008 Tavern RD Ste 102
Martinsburg, WV 254012801
(304) 263-5129
fax (304) 263-3726
Mailing address
220 Campus Blvd Ste 210
Winchester, VA 226012889

Credentials & registration

NPPES · NUCC
NPI registered
April 2022 — 4 yrs on file
Profile last updated
January 17, 2023
Year of graduation
2021 — 5 yrs since
Specialty taxonomy
363AS0400X — NUCC code

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1114660289. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
584
Distinct HCPCS
10
Medicare allowed
$29,626
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 163 126 $71
99203 New patient office or other outpatient visit, 30-44 minutes 93 93 $89
J1040 Injection, methylprednisolone acetate, 80 mg 71 59 $12
20610 Aspiration and/or injection of fluid from large joint 67 59 $56
73562 X-ray of knee, 3 views 42 39 $31
73030 X-ray of shoulder, minimum of 2 views 32 24 $26
73110 X-ray of wrist, minimum of 3 views 26 12 $31
73130 X-ray of hand, minimum of 3 views 20 14 $26
73502 X-ray of hip, 2-3 views 20 20 $36
73630 X-ray of foot, minimum of 3 views 20 16 $26

In context: peer comparison

Among 1 peers in Martinsburg Surgical Physician Assistant, average services per provider: 48. This provider delivers 12× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
27
Patients
24
Total drug cost
$237
Drug Type Claims Patients Total cost
Methylprednisolone Generic 27 24 $237

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Tedric Lolis's medical specialty?
Dr. Tedric Lolis practices Surgical Physician Assistant in Martinsburg, WV.
Where does Dr. Tedric Lolis practice?
Dr. Tedric Lolis practices at 1008 Tavern RD Ste 102, Martinsburg, WV 254012801. Office phone: 3042635129.
What is Dr. Tedric Lolis's NPI?
Dr. Tedric Lolis's National Provider Identifier (NPI) is 1114660289, issued by NPPES.
Does Dr. Tedric Lolis accept Medicare assignment?
Yes. Dr. Tedric Lolis accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Tedric Lolis commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99203); Injection, methylprednisolone acetate, 80 mg (HCPCS J1040). Source: CMS Medicare Physician & Other Practitioners file.