DR. RANDOLPH SCHUYLER LAWRENCE M.D.
NPI 1164560348
Surgery in Templeton, CA
NPI Status: Active since February 01, 2007
Contact Information
1320 LAS TABLAS RD
SUITE C
TEMPLETON, CA
ZIP 93465
Phone: (805) 434-0811
Fax: (805) 434-3455
- Individual
- Male
- Years of Experience 51
- Surgery
- Accepts Medicare Approved Payment
- PECOS Enrolled
About RANDOLPH LAWRENCE
This page provides the complete NPI Profile along with additional information for Randolph Lawrence, a provider established in Templeton, California with a medical specialization in Surgery and more than 51 years of experience. He graduated from University Of California, Geffen School Of Medicine in 1975. The healthcare provider is registered in the NPI registry with number 1164560348 assigned on February 2007. The practitioner's primary taxonomy code is 208600000X with license number G32240 (CA). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1164560348
- Provider Name
- DR. RANDOLPH SCHUYLER LAWRENCE M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1320 LAS TABLAS RD SUITE C TEMPLETON, CA 93465
- Location Phone
- (805) 434-0811
- Location Fax
- (805) 434-3455
- Mailing Address
- 1320 LAS TABLAS RD SUITE C TEMPLETON, CA 93465
- Mailing Phone
- (805) 434-0811
- Mailing Fax
- (805) 434-3455
- Medical School Name
- UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
- Graduation Year
- 1975
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-01-2007
- Last Update Date
- 09-06-2019
- Code Navigator
A surgeon like Randolph Lawrence treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Secondary Locations
- 10333 El Camino Real
Atascadero, CA 93422
(805) 468-2000
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G32240
- License State
- CA
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 174400000X | Other Service Providers | Specialist | G32240 (CA) |
| 2 | 2086S0129X | Allopathic & Osteopathic Physicians | Surgery | G32240 (CA) |
Medicare Participation & PECOS Enrollment Status
Randolph Lawrence is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Randolph Lawrence is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9537348404
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20110124001218
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.91 for a new patient copayment and $18.56 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 93465 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $91.64
- Minimum New Patient Price $59.84
- Maximum New Patient Price $178.89
- Average New Patient Copayment $22.91
- Minimum New Patient Copayment $14.96
- Maximum New Patient Copayment $44.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $74.24
- Minimum Established Patient Price $19.7
- Maximum Established Patient Price $146.55
- Average Established Patient Copayment $18.56
- Minimum Established Patient Copayment $4.92
- Maximum Established Patient Copayment $36.63
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164560348, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
TEMPLETON, CA 93465
TEMPLETON, CA 93465
TEMPLETON, CA 93465
TEMPLETON, CA 93465
TEMPLETON, CA 93465
TEMPLETON, CA 93465
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164560348, enumerated as an "individual" on February 01, 2007.
The provider is located at 1320 LAS TABLAS RD SUITE C TEMPLETON, CA 93465 and the phone number is (805) 434-0811.
Surgery with taxonomy code 208600000X.
