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DR. KARL E LAWRENCE M.D.
NPI 1033265178
Internal Medicine in Bristol, TN

Active since January 25, 2007PECOS Enrolled
1 MEDICAL PARK BLVD, BRISTOL, TN 37620(423) 844-1121 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Karl E Lawrence M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KARL E LAWRENCE M.D. (NPI 1033265178) is an individual internal medicine provider in Bristol, Tennessee, licensed in Tennessee (TN30474) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Rhea Medical Center, and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1033265178
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KARL E LAWRENCECredential: M.D.
Location Address1 MEDICAL PARK BLVDBristol, TN 37620-7430
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565
Phone(423) 844-1121
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1995
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJuly 9, 2024
NPPES CertifiedJuly 9, 2024
✔ NPI 1033265178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · TN30474
Definition
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.
1 MEDICAL PARK BLVD, Bristol, TN 37620
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Secondary Practice Location 1

Location 17328 Middlebrook PikeKnoxville, TN 37909-3139 · Phone (865) 769-2600 · Fax (865) 769-2616

Other Identifiers 1

Medicaid3730540TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Karl E Lawrence M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800860578
PECOS Enrollment IDI20040819001601
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Karl Lawrence reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

AFC Physicians Of Tennessee, PC
112 mi
General Practice
1015 HUNTERS CROSSING DRIVE
Alcoa, TN 37701
  • Reassigned Medicare billing, Tennessee enrollment
  • 93 clinicians in this Medicare group
NPI 1881028512 (856) 238-2006
Southeastern Physician Services PC
118 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,085 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000
Rhea Medical Center
169 mi
Critical Access
9400 RHEA COUNTY HWY
Dayton, TN 37321
  • Reassigned Medicare billing, Tennessee enrollment
  • 41 clinicians in this Medicare group
NPI 1811987084 (423) 775-1121
Dx Mso, PLLC
196 mi
Urgent Care
1521 GUNBARREL RD, STE 103
Chattanooga, TN 37421
  • Reassigned Medicare billing, Tennessee enrollment
  • 224 clinicians in this Medicare group
NPI 1225381148 (423) 531-0911
Curana Health Of Tennessee LLC
439 mi
Family
5865 RIDGEWAY CENTER PKWY
Memphis, TN 38120
  • Reassigned Medicare billing, Tennessee enrollment
  • 117 clinicians in this Medicare group
NPI 1750761060 (337) 991-9276

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
176 services83 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
26 services25 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rhea Medical Center

Critical Access Hospitals · Dayton, TN
OwnershipGovernment - Local
CMS Certification Number441310
Location9400 Rhea County HighwayDayton, TN 37321 · Rhea County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37620 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%182 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims12 services$44.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASSONDRA NICHOLE COMPTON CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-2686
DAVID R HUDGENS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-3220
DR. JEAN MARIE MANCINI M.D.
Internal Medicine
1 MEDICAL PARK BLVD, STE 450W
BRISTOL, TN 37620
Sullivan County (423) 968-3713
THOMAS A KITTS MD
Emergency Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-2100
LAURA ANN ELLER AGACNP
Nurse Practitioner (Critical Care Medicine)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-1121
DR. WALTER DAVIS ARNOLD JR. MD
Internal Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 282-1480
DR. MICHAEL WAYNE RENTZ MD
Pathology (Anatomic Pathology & Clinical Pathology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-3220
MARILYN J GOLDSTEIN MD
Anesthesiology
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 968-4540

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karl Lawrence's NPI number?

The NPI number for Karl Lawrence is 1033265178. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Karl Lawrence located?

Karl Lawrence practices at 1 Medical Park Blvd, Bristol, TN 37620. The listed phone number is (423) 844-1121.

What is Karl Lawrence's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Karl Lawrence enrolled in Medicare?

Yes. Karl Lawrence is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Karl Lawrence's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karl Lawrence reassigns Medicare benefits to 5 organizations: AFC Physicians Of Tennessee, PC (Alcoa, TN), Southeastern Physician Services PC (Oak Ridge, TN), Rhea Medical Center (Dayton, TN), Dx Mso, PLLC (Chattanooga, TN) and Curana Health Of Tennessee LLC (Memphis, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karl Lawrence's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karl Lawrence accept?

Health plans from BlueCross BlueShield of Tennessee list Karl Lawrence as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Karl Lawrence affiliated with any hospitals?

According to CMS data, Karl Lawrence is affiliated with Rhea Medical Center.

When was this NPI record last updated?

The NPPES record for Karl Lawrence was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.