LAUREN F VERNESE DO
NPI 1194136457
Physical Medicine & Rehabilitation - Sports Medicine in Blue Bell, PA

Active since May 08, 2014PECOS EnrolledAccepts Medicare Assignment
92.09/100
CMS Quality Rating
510 TOWNSHIP LINE RD STE 110, BLUE BELL, PA 19422(800) 321-9999(267) 479-1321 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 1, 2023, Apr 23, 2021, Aug 30, 2019 (3 updates tracked since 2019).

About Lauren F Vernese Do NPPES

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

LAUREN F VERNESE DO (NPI 1194136457) is an individual sports medicine provider in Blue Bell, Pennsylvania, licensed in Pennsylvania (OS022549) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Grand View Health, and is a graduate of Philadelphia College Of Osteopathic Medicine (2014).

NPPES Registry Identity

NPI1194136457
Entity TypeIndividualFemale
Primary Taxonomy2081S0010X
Provider Legal NameLAUREN F VERNESECredential: DO
Location Address510 TOWNSHIP LINE RD STE 110Blue Bell, PA 19422-2721
Mailing Address833 Chestnut St Ste 520Philadelphia, PA 19107-4430 · (267) 339-7843 · Fax (267) 339-3761
Fax(267) 479-1321
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2014
Enumeration DateMay 8, 2014
Last NPPES UpdateJune 1, 20233 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
NPI 1194136457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License Licensed in PA · OS022549
Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

510 TOWNSHIP LINE RD STE 110, Blue Bell, PA 19422

Accepted 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

Lauren F Vernese 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 ID7416255401
PECOS Enrollment IDI20230420000392
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 17

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.

Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg J7329
Trivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.
8,625 services72 patients
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.
1,286 services198 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.
312 services110 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.
226 services169 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
181 services127 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.
164 services117 patients

Hospital Affiliations CMS Care Compare 3

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

Grand View Health

Acute Care Hospitals · Sellersville, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390057
Location700 Lawn AvenueSellersville, PA 18960 · Bucks County
Emergency services

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390203
Location595 West State StDoylestown, PA 18901 · Bucks County
Emergency services Birthing friendly

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.

92.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.6
Promoting Interoperability99
Improvement Activities40
Cost87.88

Other Providers at the Same Location NPPES 10

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

Orthopaedic Surgery
510 TOWNSHIP LINE RD STE 110
BLUE BELL, PA 19422
Physical Medicine & Rehabilitation
510 TOWNSHIP LINE RD STE 110
BLUE BELL, PA 19422
Physical Medicine & Rehabilitation
510 TOWNSHIP LINE RD STE 110
BLUE BELL, PA 19422
Orthopaedic Surgery (Hand Surgery)
510 TOWNSHIP LINE RD STE 110
BLUE BELL, PA 19422
Physician Assistant
510 TOWNSHIP LINE RD STE 110
BLUE BELL, PA 19422
Orthopaedic Surgery
510 TOWNSHIP LINE RD STE 110
BLUE BELL, PA 19422
Podiatrist
510 TOWNSHIP LINE RD STE 110
BLUE BELL, PA 19422
Family Medicine (Sports Medicine)
510 TOWNSHIP LINE RD STE 110
BLUE BELL, PA 19422

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 Vernese's NPI number?

The NPI number for Lauren Vernese is 1194136457. It was assigned to this individual provider in the NPPES registry on May 8, 2014.

Where is Lauren Vernese located?

Lauren Vernese practices at 510 Township Line Rd Ste 110, Blue Bell, PA 19422. The listed phone number is (800) 321-9999.

What is Lauren Vernese's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Lauren Vernese enrolled in Medicare?

Yes. Lauren Vernese 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 Lauren Vernese accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Lauren Vernese 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 Lauren Vernese affiliated with any hospitals?

According to CMS data, Lauren Vernese is affiliated with Grand View Health, Albert Einstein Medical Center and Doylestown Hospital.

When was this NPI record last updated?

The NPPES record for Lauren Vernese was last updated on June 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.