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BRIAN LAUER DO
NPI 1144719469
Family Medicine - Sports Medicine in Shelbyville, IN

Active since May 02, 2018PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
275 W BASSETT RD STE 3, SHELBYVILLE, IN 46176(317) 421-3265(317) 398-1872 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 8, 2024, Aug 11, 2021, Jun 19, 2018 and 1 more (4 updates tracked since 2018).

About Brian Lauer Do NPPES

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

BRIAN LAUER DO (NPI 1144719469) is an individual sports medicine provider in Shelbyville, Indiana, licensed in Indiana (02005782A) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Major Hospital, and is a graduate of Edward Via Col Of Osteo Medicine-virginia Campus (2022).

NPPES Registry Identity

NPI1144719469
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameBRIAN LAUERCredential: DO
Location Address275 W BASSETT RD STE 3Shelbyville, IN 46176-8575
Mailing Address30 W Rampart St Ste 200Shelbyville, IN 46176-8846 · (317) 421-2012 · Fax (317) 398-1851
Phone(317) 421-3265
Fax(317) 398-1872
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2022
Enumeration DateMay 2, 2018
Last NPPES UpdateAugust 8, 20244 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1144719469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in IN · 02005782A
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 02005782A (IN)
275 W BASSETT RD STE 3, Shelbyville, IN 46176
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Other Identifiers 1

Medicaid300064855IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Brian Lauer 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 ID6800141250
PECOS Enrollment IDI20220725000783
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

3

Medicare enrollment records show Brian Lauer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Major Multispecialty Associates
0.2 mi
Internal Medicine
2451 INTELLIPLEX DR
Shelbyville, IN 46176
  • Reassigned Medicare billing, Indiana enrollment
  • 73 clinicians in this Medicare group
NPI 1437398492 (317) 392-3211
Baptist Health Medical Group Inc
62 mi
Rural Health
705 FAIRGROUND RD
Scottsburg, IN 47170
  • Reassigned Medicare billing, Indiana enrollment
  • 532 clinicians in this Medicare group
NPI 1467057042 (812) 752-0165
Academic Primary Care Associates
334 mi
Neuromusculoskeletal Medicine, Sports Medicine
1691 INNOVATION DR STE 2100
Blacksburg, VA 24060
  • Reassigned Medicare billing, Virginia enrollment
  • 13 clinicians in this Medicare group
NPI 1053340281 (540) 232-8405

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 8

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
334 services66 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.
97 services71 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
85 services66 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.
53 services50 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.
45 services45 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Major Hospital

Acute Care Hospitals · Shelbyville, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150097
Location2451 Intelliplex DrShelbyville, IN 46176 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46176 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

JOEL JAEGER DO
Family Medicine (Sports Medicine)
275 W BASSETT RD STE 3
SHELBYVILLE, IN 46176
Shelby County (317) 421-3265

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 Brian Lauer's NPI number?

The NPI number for Brian Lauer is 1144719469. It was assigned to this individual provider in the NPPES registry on May 2, 2018.

Where is Brian Lauer located?

Brian Lauer practices at 275 W Bassett Rd Ste 3, Shelbyville, IN 46176. The listed phone number is (317) 421-3265.

What is Brian Lauer's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Brian Lauer enrolled in Medicare?

Yes. Brian Lauer 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.

Which organizations bill Medicare for Brian Lauer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Lauer reassigns Medicare benefits to 3 organizations: Major Multispecialty Associates (Shelbyville, IN), Baptist Health Medical Group Inc (Scottsburg, IN) and Academic Primary Care Associates (Blacksburg, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Lauer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Lauer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Brian Lauer 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 Brian Lauer affiliated with any hospitals?

According to CMS data, Brian Lauer is affiliated with Major Hospital.

When was this NPI record last updated?

The NPPES record for Brian Lauer was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.