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LAUREN MARIE GENSLER M.D.
NPI 1164840153
Internal Medicine in Atlanta, GA

Active since April 07, 2014PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
80 JESSE HILL JR DR SE, ATLANTA, GA 30303(404) 727-5658 Get Directions Write a Review

NPPES record last updated: March 8, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lauren Marie Gensler M.d. NPPES

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

LAUREN MARIE GENSLER M.D. (NPI 1164840153) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (81335) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1164840153
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLAUREN MARIE GENSLERCredential: M.D.
Location Address80 JESSE HILL JR DR SEAtlanta, GA 30303-3031
Mailing Address1364 Clifton Rd NeAtlanta, GA 30322-4417 · (404) 727-5658
Phone(404) 727-5658
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 7, 2014
Last NPPES UpdateMarch 8, 2019
✔ NPI 1164840153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 81335
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.
80 JESSE HILL JR DR SE, Atlanta, GA 30303
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter Health, Oscar Health.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

Lauren Marie Gensler M.d. 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 ID4082940978
PECOS Enrollment IDI20190730004681
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

2

Medicare enrollment records show Lauren Gensler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emory Medical Care Foundation Inc
Same address
Physical Medicine & Rehabilitation
80 JESSE HILL JR DR SE
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
NPI 1063678563 (404) 778-5014
Floyd Healthcare Management Inc
56 mi
General Acute Care Hospital
304 TURNER MCCALL BLVD SW
Rome, GA 30165
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Floyd Physicians LLC
  • 185 clinicians in this Medicare group
NPI 1154377166 (706) 509-5000

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 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.
74 services17 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30303 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

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.

DR. SHANNON WALKER IKE MD
Internal Medicine (Cardiovascular Disease)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-1000
KAYLA NIKEA HUGINE
Nurse Practitioner (Acute Care)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-1000
EMILIA POMA
Student in an Organized Health Care Education/Training Program
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-1000
JAYALAKSHMI K RAO MD
Internal Medicine (Rheumatology)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7717
DR. KAREN MICHELLE CURZIO PHARM.D.
Pharmacist
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-5404
DR. TELSIE A. DAVIS PH.D.
Psychologist (Clinical)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (678) 612-4210
ALICIA WONG LPC
Counselor (Mental Health)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-5317
SELENA KIM CAA
Anesthesiologist Assistant
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-1000

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 Gensler's NPI number?

The NPI number for Lauren Gensler is 1164840153. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Where is Lauren Gensler located?

Lauren Gensler practices at 80 Jesse Hill Jr Dr SE, Atlanta, GA 30303. The listed phone number is (404) 727-5658.

What is Lauren Gensler's specialty?

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

Is Lauren Gensler enrolled in Medicare?

Yes. Lauren Gensler 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 Lauren Gensler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Gensler reassigns Medicare benefits to 2 organizations: Emory Medical Care Foundation Inc (Atlanta, GA) and Floyd Healthcare Management Inc (Rome, GA). 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 Lauren Gensler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Gensler accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health and Oscar Health list Lauren Gensler 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.

When was this NPI record last updated?

The NPPES record for Lauren Gensler was last updated on March 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.