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DR. BRADLEY R LAWSON M.D.
NPI 1033405139
Otolaryngology in Newark, OH

Active since June 27, 2011PECOS EnrolledAccepts Medicare Assignment
79.35/100
CMS Quality Rating
36 MCMILLEN DR, NEWARK, OH 43055(220) 564-4270(220) 564-4272 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2021, Oct 20, 2020, Feb 27, 2017 (3 updates tracked since 2017).

About Dr. Bradley R Lawson M.d. NPPES

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

DR. BRADLEY R LAWSON M.D. (NPI 1033405139) is an individual otolaryngology provider in Newark, Ohio, licensed in Ohio (35.130435) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Licking Memorial Hospital, and is a graduate of Ohio State University College Of Medicine (2011).

NPPES Registry Identity

NPI1033405139
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. BRADLEY R LAWSONCredential: M.D.
Location Address36 MCMILLEN DRNewark, OH 43055
Mailing Address36 Mcmillen DrNewark, OH 43055 · (220) 564-4270 · Fax (220) 564-4272
Phone(220) 564-4270
Fax(220) 564-4272
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2011
Enumeration DateJune 27, 2011
Last NPPES UpdateMarch 18, 20213 updates tracked since enumeration
NPPES CertifiedMarch 18, 2021
✔ NPI 1033405139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in OH · 35.130435
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
36 MCMILLEN DR, Newark, OH 43055
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bradley R Lawson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608192349
PECOS Enrollment IDI20170322000542
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.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
98 services74 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
94 services64 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
63 services39 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
62 services62 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
39 services28 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
35 services35 patients

Hospital Affiliations CMS Care Compare

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

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

79.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.02
Promoting Interoperability100
Improvement Activities40
Cost57.85

Other Providers at the Same Location NPPES 4

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

LICKING MEMORIAL PROFESSIONAL CORPORATION
Dermatology
36 MCMILLEN DR
NEWARK, OH 43055
Licking County (740) 348-1755
LYNNE DUVALL
Audiologist
36 MCMILLEN DR
NEWARK, OH 43055
Licking County (740) 344-1304
CHERYL B BARKER
Audiologist
36 MCMILLEN DR
NEWARK, OH 43055
Licking County (740) 344-1304
DR. KENNETH CARROLL PARKER M.D.
Otolaryngology (Facial Plastic Surgery)
36 MCMILLEN DR
NEWARK, OH 43055
Licking County (220) 564-4270

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 Bradley Lawson's NPI number?

The NPI number for Bradley Lawson is 1033405139. It was assigned to this individual provider in the NPPES registry on June 27, 2011.

Where is Bradley Lawson located?

Bradley Lawson practices at 36 Mcmillen Dr, Newark, OH 43055. The listed phone number is (220) 564-4270.

What is Bradley Lawson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Bradley Lawson enrolled in Medicare?

Yes. Bradley Lawson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bradley Lawson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Bradley Lawson 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 Bradley Lawson affiliated with any hospitals?

According to CMS data, Bradley Lawson is affiliated with Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Bradley Lawson was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.