LAWRENCE STEIN MD
NPI 1043203359
Internal Medicine - Sleep Medicine in Falls Church, VA

Q: What is Lawrence Stein's NPI number?

The NPI number for Lawrence Stein is 1043203359. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Q: What is Lawrence Stein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Q: When was this NPI record last updated?

The NPPES record for Lawrence Stein was last updated on August 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 23, 2005PECOS EnrolledAccepts Medicare Assignment

500 W ANNANDALE RD, FALLS CHURCH, VA 22046(703) 521-6662(703) 521-5991 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Lawrence Stein Md NPPES

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

LAWRENCE STEIN MD (NPI 1043203359) is an individual sleep medicine provider in Falls Church, Virginia, licensed in Virginia (0101046485) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Virginia Hospital Center, and is a graduate of State University Of Ny Upstate Medical University (1985).

NPPES Registry Identity

NPI1043203359

Entity TypeIndividualMale

Primary Taxonomy207RS0012X

Provider Legal NameLAWRENCE STEINCredential: MD

Location Address500 W ANNANDALE RDFalls Church, VA 22046-4205

Mailing AddressPo Box 468Berwick, PA 18603-0468 · (610) 956-0003 · Fax (610) 956-0009

Phone(703) 521-6662

Fax(703) 521-5991

Sole ProprietorNo

Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1985

Enumeration DateAugust 23, 2005

Last NPPES UpdateAugust 12, 2022

NPPES CertifiedAugust 12, 2022

✔ NPI 1043203359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RS0012X

License✔ Licensed in VA · 0101046485

Definition

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 0101046485 (VA)

500 W ANNANDALE RD, Falls Church, VA 22046

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Other Identifiers 1

Medicaid6068782VA

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

Lawrence Stein Md 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 ID3476459231

PECOS Enrollment IDI20031211000429, I20140728001388

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 16

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

839 services471 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

83 services70 patients

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.

78 services61 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

61 services60 patients

Sleep study including heart rate, breathing, and sleep time 95800

A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.

42 services42 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

30 services27 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

28 services28 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

27 services27 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

27 services27 patients

Therapy procedure using a positive pressure ventilator 94660

A positive pressure ventilator is a device that helps with breathing. It pushes air into the lungs to assist in maintaining oxygen levels. This can be essential for patients with conditions that affect their ability to breathe independently. It's non-invasive and comfortable.

22 services20 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

20 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

19 services19 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

18 services16 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

18 services18 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

16 services14 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490050

Location1701 North George Mason DriveArlington, VA 22205 · Arlington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22046 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

90%1,781 patients3/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

92%275 patients3/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

66%1,609 patients3/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

99%1,484 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

58%1,484 patients3/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

66%1,484 patients

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 31

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

Sterile water/saline, 500 ml A4217

DME-Medical/Surgical Supplies · category DA000N

1 supplier14 claims360 services$2.74 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

36 suppliers930 claims930 services$31.40 avg. paid by Medicare

Tracheostomy, inner cannula A4623

DME-Orthotic Devices · category DF000N

1 supplier14 claims460 services$5.93 avg. paid by Medicare

Tracheal suction catheter, any type other than closed system, each A4624

DME-Other DME · category DE000N

1 supplier14 claims1,241 services$2.17 avg. paid by Medicare

Tracheostomy care kit for established tracheostomy A4629

DME-Orthotic Devices · category DF000N

1 supplier13 claims390 services$4.50 avg. paid by Medicare

Canister, disposable, used with suction pump, each A7000

DME-Other DME · category DE000N

2 suppliers20 claims31 services$7.01 avg. paid by Medicare

Tubing, used with suction pump, each A7002

DME-Other DME · category DE000N

2 suppliers22 claims37 services$3.71 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

24 suppliers380 claims380 services$74.66 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

21 suppliers360 claims984 services$28.62 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

26 suppliers402 claims2,214 services$14.93 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

23 suppliers225 claims1,275 services$12.21 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

34 suppliers677 claims677 services$45.37 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

39 suppliers597 claims597 services$15.03 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

20 suppliers79 claims79 services$8.34 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

13 suppliers70 claims71 services$9.80 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

36 suppliers923 claims5,232 services$1.67 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

14 suppliers56 claims56 services$4.37 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

34 suppliers489 claims489 services$10.82 avg. paid by Medicare

Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each A7509

DME-Orthotic Devices · category DF000N

1 supplier13 claims390 services$1.36 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers36 claims45 services$13.22 avg. paid by Medicare

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465

DME-Other DME · category DE005N

2 suppliers24 claims36 services$916.40 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$906.04 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

6 suppliers67 claims67 services$67.64 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

3 suppliers25 claims33 services$166.85 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

12 suppliers44 claims44 services$110.26 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

8 suppliers289 claims304 services$10.63 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier25 claims25 services$3.21 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

18 suppliers736 claims744 services$27.03 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers66 claims69 services$59.45 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$33.33 avg. paid by Medicare

Tracheostomy speaking valve L8501

DME-Orthotic Devices · category DF000N

1 supplier13 claims13 services$100.32 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DR. SEBA RAMHMDANI MD

Internal Medicine

500 W ANNANDALE RD
FALLS CHURCH, VA 22046

Falls Church City (703) 521-6662

STACIA D PETRANCOSTA PA-C

Physician Assistant (Medical)

500 W ANNANDALE RD
FALLS CHURCH, VA 22046

Falls Church City (703) 521-6662

MR. GORDON ADDO FNP-C

Nurse Practitioner (Family)

500 W ANNANDALE RD
FALLS CHURCH, VA 22046

Falls Church City (703) 521-6662

DR. ELIZABETH KAZARIAN

Family Medicine

500 W ANNANDALE RD
FALLS CHURCH, VA 22046

Falls Church City (703) 521-6662

ASHTAAD DALAL MD

Family Medicine (Sleep Medicine)

500 W ANNANDALE RD
FALLS CHURCH, VA 22046

Falls Church City (703) 521-6662

LAUREN HOWARD VAUGHAN PA

Physician Assistant

500 W ANNANDALE RD
FALLS CHURCH, VA 22046

Falls Church City (703) 521-6662

DR. JULIE PASSARELLI MD

Internal Medicine

500 W ANNANDALE RD
FALLS CHURCH, VA 22046

Falls Church City (703) 521-6662

DR. HELEN A EVANS MD

Family Medicine

500 W ANNANDALE RD
FALLS CHURCH, VA 22046

Falls Church City (703) 521-6662

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 Lawrence Stein's NPI number?

The NPI number for Lawrence Stein is 1043203359. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Lawrence Stein located?

Lawrence Stein practices at 500 W Annandale Rd, Falls Church, VA 22046. The listed phone number is (703) 521-6662.

What is Lawrence Stein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Lawrence Stein enrolled in Medicare?

Yes. Lawrence Stein 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.

Is Lawrence Stein affiliated with any hospitals?

According to CMS data, Lawrence Stein is affiliated with Virginia Hospital Center.

When was this NPI record last updated?

The NPPES record for Lawrence Stein was last updated on August 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.