DR. PAIGE NICOLE LAWLESS DO
NPI 1124513536
Obstetrics & Gynecology in Madison, WI

Active since June 27, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1211 FISH HATCHERY RD, MADISON, WI 53715(608) 252-8000(608) 283-7354 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 9, 2022, Jun 27, 2018 (2 updates tracked since 2018).

About Dr. Paige Nicole Lawless Do NPPES

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

DR. PAIGE NICOLE LAWLESS DO (NPI 1124513536) is an individual obstetrics & gynecology provider in Madison, Wisconsin, licensed in Wisconsin (81260-21) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and maintains a secondary practice location in Hastings.

NPPES Registry Identity

NPI1124513536
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. PAIGE NICOLE LAWLESSCredential: DO
Location Address1211 FISH HATCHERY RDMadison, WI 53715-1909
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Fax(608) 283-7354
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2018
Enumeration DateJune 27, 2018
Last NPPES UpdateNovember 29, 20232 updates tracked since enumeration
NPPES CertifiedNovember 29, 2023
NPI 1124513536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in WI · 81260-21 Licensed in MI · 5101024328
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1211 FISH HATCHERY RD, Madison, WI 53715

Secondary Practice Location 1

Location 11005 W Green St Ste 301Hastings, MI 49058-1729 · Phone (269) 945-8080

Other Identifiers 1

Medicaid1124513536WI

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. Paige Nicole Lawless Do 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 ID8628322021
PECOS Enrollment IDI20230927002972
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

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.

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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

Physical Therapist
1211 FISH HATCHERY RD
MADISON, WI 53715
Registered Nurse (Ambulatory Care)
1211 FISH HATCHERY RD
MADISON, WI 53715
Pediatrics
1211 FISH HATCHERY RD
MADISON, WI 53715
Otolaryngology
1211 FISH HATCHERY RD
MADISON, WI 53715
Dietitian, Registered
1211 FISH HATCHERY RD
MADISON, WI 53715
Allergy & Immunology
1211 FISH HATCHERY RD
MADISON, WI 53715
Physician Assistant
1211 FISH HATCHERY RD
MADISON, WI 53715
Pharmacist
1211 FISH HATCHERY RD
MADISON, WI 53715

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 Paige Lawless's NPI number?

The NPI number for Paige Lawless is 1124513536. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Where is Paige Lawless located?

Paige Lawless practices at 1211 Fish Hatchery Rd, Madison, WI 53715. The listed phone number is (608) 252-8000.

What is Paige Lawless's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Paige Lawless enrolled in Medicare?

Yes. Paige Lawless 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 Paige Lawless affiliated with any hospitals?

According to CMS data, Paige Lawless is affiliated with Ssm Health St Mary's Hospital - Madison.

When was this NPI record last updated?

The NPPES record for Paige Lawless was last updated on November 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.