ANDREA MICHELLE LAUFFER MD
NPI 1114247475
Pediatrics in Huntington, WV

Q: What is Andrea Lauffer's NPI number?

The NPI number for Andrea Lauffer is 1114247475. It was assigned to this individual provider in the NPPES registry on June 9, 2010.

Q: What is Andrea Lauffer's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Lauffer was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 09, 2010PECOS EnrolledAccepts Medicare Assignment

1600 MEDICAL CENTER DR STE 3500, HUNTINGTON, WV 25701(304) 691-1300 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 8, 2021, May 20, 2021, Jul 9, 2020 and 1 more (4 updates tracked since 2020).

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About Andrea Michelle Lauffer Md NPPES

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

ANDREA MICHELLE LAUFFER MD (NPI 1114247475) is an individual pediatrics provider in Huntington, West Virginia, licensed in West Virginia (25803) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Thomas Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114247475

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameANDREA MICHELLE LAUFFERCredential: MD

Location Address1600 MEDICAL CENTER DR STE 3500Huntington, WV 25701-3655

Mailing Address1600 Medical Center Dr Ste 3500Huntington, WV 25701-3655 · (304) 691-1300 · Fax (304) 691-1333

Phone(304) 691-1300

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateJune 9, 2010

Last NPPES UpdateDecember 8, 20214 updates tracked since enumeration

NPPES CertifiedNovember 30, 2021

✔ NPI 1114247475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WV · 25803

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25803 (WV)

1600 MEDICAL CENTER DR STE 3500, Huntington, WV 25701

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Secondary Practice Locations 2

Location 12900 1st Ave, Room 1025Huntington, WV 25702-1241 · Phone (304) 399-7484 · Fax (304) 399-7579

Location 2300 Corporate Center DriveScott Depot, WV, WV 25560 · Phone (304) 691-6910

Other Identifiers 4

Medicaid0106896OH

Other3069393WV · Highmark Bcbs

Medicaid3810027787WV

Medicaid7100307350KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Michelle Lauffer 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 ID1951548254

PECOS Enrollment IDI20140905001185

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

Medicare enrollment records show Andrea Lauffer reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Physicians & Surgeons, Inc

Same address

Internal Medicine

1600 MEDICAL CENTER DRIVE
Huntington, WV 25701

Reassigned Medicare billing, West Virginia enrollment
525 clinicians in this Medicare group

NPI 1730183286 (304) 691-8722

St. Mary's Medical Management, LLC

2.1 mi

Orthopaedic Surgery

2828 1ST AVE STE 400
Huntington, WV 25702

Reassigned Medicare billing, West Virginia enrollment
160 clinicians in this Medicare group

NPI 1205596665 (304) 525-6905

St Mary's Hospitalist Services, LLC

2.2 mi

Internal Medicine

2900 1ST AVE RM 1025
Huntington, WV 25702

Reassigned Medicare billing, West Virginia enrollment
Medicare enrollment name: St Marys Hospitalist Services LLC
94 clinicians in this Medicare group

NPI 1942432687 (304) 399-7484

Ths Physician Partners Inc

38 mi

Internal Medicine

4605 MACCORKLE AVE SW
South Charleston, WV 25309

Reassigned Medicare billing, West Virginia enrollment
466 clinicians in this Medicare group

NPI 1871866806 (304) 414-4800

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 2

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 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

52 services20 patients

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.

37 services19 patients

Hospital Affiliations CMS Care Compare

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

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510029

Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25701 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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…

73%70 patients3/55-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.

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.

MS. JAIME LEIGH BASHAM DO, MS, CCC-SLP

Pediatrics