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LAUREN SCHMALZ MD
NPI 1073041216
Internal Medicine in Philadelphia, PA

Active since June 01, 2017PECOS EnrolledAccepts Medicare Assignment
245 N 15TH ST, PHILADELPHIA, PA 19102(215) 762-7000 Get Directions Write a Review

NPPES record last updated: June 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lauren Schmalz Md NPPES

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

LAUREN SCHMALZ MD (NPI 1073041216) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT213528) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073041216
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLAUREN SCHMALZCredential: MD
Location Address245 N 15TH STPhiladelphia, PA 19102-1101
Mailing Address245 N 15th St Fl 6Philadelphia, PA 19102-1101
Phone(215) 762-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 1, 2017
✔ NPI 1073041216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MT213528
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.
245 N 15TH ST, Philadelphia, PA 19102
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross Blue Shield of North Dakota, Medica 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

Lauren Schmalz 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 ID6103155163
PECOS Enrollment IDI20241014000125, I20260105000226
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.

Hospital Affiliations CMS Care Compare

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

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160146
Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19102 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 20

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

TIRUMALA LAKSHMI KUMARI PENTAKOTA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
245 N 15TH ST, MAIL STOP 435
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-1179
SEAN W KIM D.O
Hospitalist
245 N 15TH ST, IM RESIDENCY MAIL STOP 427
PHILADELPHIA, PA 19102
Philadelphia County (443) 926-3875
ANDREI PLAGOV M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
245 N 15TH ST, MS 435
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-1673
DR. BRIANNE GILIBERTO D.O.
Emergency Medicine
245 N 15TH ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-2365
DR. VADIM KEYFES M.D.
Emergency Medicine
245 N 15TH ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-2365
VIOLETA R GAMARRA MD
Pathology (Anatomic Pathology & Clinical Pathology)
245 N 15TH ST, MS 435
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-8873
DR. CHRISTOPHER SCOTT BODDEN MD
Internal Medicine
245 N 15TH ST, 6TH FLOOR, MS 427
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-7916
DREXEL COLLEGE OF MEDICINE
General Acute Care Hospital (Critical Access)
245 N 15TH ST
PHILA, PA 19102
Philadelphia County (215) 762-4984

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 Lauren Schmalz's NPI number?

The NPI number for Lauren Schmalz is 1073041216. It was assigned to this individual provider in the NPPES registry on June 1, 2017.

Where is Lauren Schmalz located?

Lauren Schmalz practices at 245 N 15th St, Philadelphia, PA 19102. The listed phone number is (215) 762-7000.

What is Lauren Schmalz's specialty?

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

Is Lauren Schmalz enrolled in Medicare?

Yes. Lauren Schmalz 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 Lauren Schmalz accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of North Dakota, Medica, Oscar Insurance Company and Sanford Health Plan list Lauren Schmalz 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 Lauren Schmalz affiliated with any hospitals?

According to CMS data, Lauren Schmalz is affiliated with St Lukes Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Lauren Schmalz was last updated on June 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.