LAUREN WALLACE MD
NPI 1063828184
Family Medicine in Duluth, MN

Q: What is Lauren Wallace's NPI number?

The NPI number for Lauren Wallace is 1063828184. It was assigned to this individual provider in the NPPES registry on July 9, 2014. The provider is also known as Lauren Lorton.

Q: What is Lauren Wallace's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Lauren Wallace was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 09, 2014PECOS EnrolledAccepts Medicare Assignment

4190 LOBERG AVE, DULUTH, MN 55811(218) 249-4600 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 30, 2023, Sep 28, 2021 (2 updates tracked since 2021).

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About Lauren Wallace Md NPPES

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

LAUREN WALLACE MD (NPI 1063828184) is an individual family medicine provider in Duluth, Minnesota, licensed in Minnesota (73123) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2013).

NPPES Registry Identity

NPI1063828184

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameLAUREN WALLACECredential: MD

Location Address4190 LOBERG AVEDuluth, MN 55811-2652

Mailing Address4190 Loberg AveDuluth, MN 55811-2652 · (218) 249-4600

Phone(218) 249-4600

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2013

Enumeration DateJuly 9, 2014

Last NPPES UpdateJanuary 30, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2023

✔ NPI 1063828184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MN · 73123✔ Licensed in IL · 125065769✔ Licensed in MO · 2021034580

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4190 LOBERG AVE, Duluth, MN 55811

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Other Names 1

Former Name (1)Lauren Lorton

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Security Health Plan.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

Lauren Wallace 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 ID6608197371

PECOS Enrollment IDI20230310000819

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 3

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.

103 services58 patients

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.

84 services48 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.

40 services40 patients

Hospital Affiliations CMS Care Compare 2

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

St Lukes Hospital

Acute Care Hospitals · Duluth, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240047

Location915 East 1st StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

Community Memorial Hospital

Critical Access Hospitals · Cloquet, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241364

Location512 Skyline BoulevardCloquet, MN 55720 · Carlton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55811 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

Other Providers at the Same Location NPPES 17

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

NICOLE COLLISON DPT

Physical Therapist

4190 LOBERG AVE
HERMANTOWN, MN 55811

St. Louis County (218) 249-6040

DR. ELIZABETH A LILJEBLAD MD

Family Medicine

4190 LOBERG AVE
HERMANTOWN, MN 55811

St. Louis County (218) 249-4600

DR. GERARD DAVID SPOELHOF M.D.

Family Medicine