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LAURA E AVERY MD
NPI 1184855298
Surgery in Mansfield, OH

Active since August 06, 2009PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
215 WOOD ST, MANSFIELD, OH 44903(419) 522-2833(419) 524-1619 Get Directions Write a Review

NPPES record last updated: August 25, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Laura E Avery Md NPPES

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

LAURA E AVERY MD (NPI 1184855298) is an individual surgery provider in Mansfield, Ohio, licensed in Ohio (35124417) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with Ohiohealth Mansfield Hospital, and is a graduate of Toledo Medical College (2008).

NPPES Registry Identity

NPI1184855298
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameLAURA E AVERYCredential: MD
Location Address215 WOOD STMansfield, OH 44903-2260
Mailing Address5350 Frantz RdDublin, OH 43016-4259
Phone(419) 522-2833
Fax(419) 524-1619
Sole ProprietorNo
Medical School CMSToledo Medical CollegeGraduated 2008
Enumeration DateAugust 6, 2009
Last NPPES UpdateAugust 25, 2014
✔ NPI 1184855298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OH · 35124417
Definition
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.
215 WOOD ST, Mansfield, OH 44903
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laura E Avery 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 ID6204055353
PECOS Enrollment IDI20140922002650
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 9

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.

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.
111 services67 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
78 services49 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
23 services23 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
20 services18 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.
19 services17 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
18 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360118
Location335 Glessner AvenueMansfield, OH 44903 · Richland County
Emergency services Birthing friendly

Ohiohealth Shelby Hospital

Critical Access Hospitals · Shelby, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361324
Location199 West Main StreetShelby, OH 44875 · Richland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44903 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Other Providers at the Same Location NPPES 6

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

DR. MANJUNATH HARIDAS MD
Surgery
215 WOOD ST, RICHLAND SURGICAL ASSOCIATES
MANSFIELD, OH 44903
Richland County (419) 522-2833
RICHLAND SURGICAL ASSOCIATES INC
Specialist
215 WOOD ST
MANSFIELD, OH 44903
Richland County (419) 522-2833
JEFFREY JOSEPH ARCHER M.D.
Surgery
215 WOOD ST
MANSFIELD, OH 44903
Richland County (419) 522-2833
DR. ANTOINE SAID MUNTHER M.D.
Surgery
215 WOOD ST
MANSFIELD, OH 44903
Richland County (419) 522-2833
DR. DANIEL EARL DETRICH M.D.
Surgery
215 WOOD ST
MANSFIELD, OH 44903
Richland County (419) 522-2833
DR. ANTHONY NABIL FAHMY M.D.
Surgery
215 WOOD ST
MANSFIELD, OH 44903
Richland County (419) 522-2833

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 Laura Avery's NPI number?

The NPI number for Laura Avery is 1184855298. It was assigned to this individual provider in the NPPES registry on August 6, 2009.

Where is Laura Avery located?

Laura Avery practices at 215 Wood St, Mansfield, OH 44903. The listed phone number is (419) 522-2833.

What is Laura Avery's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Laura Avery enrolled in Medicare?

Yes. Laura Avery 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.

What insurance does Laura Avery accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual list Laura Avery 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 Laura Avery affiliated with any hospitals?

According to CMS data, Laura Avery is affiliated with Ohiohealth Mansfield Hospital and Ohiohealth Shelby Hospital.

When was this NPI record last updated?

The NPPES record for Laura Avery was last updated on August 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.