LAUREN HERZFELD PA-C
NPI 1205224185
Physician Assistant in Cincinnati, OH

Active since December 31, 2014PECOS EnrolledAccepts Medicare Assignment
601 IVY GTWY STE 2100, CINCINNATI, OH 45245(513) 752-8000(513) 752-1078 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lauren Herzfeld Pa-c NPPES

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

LAUREN HERZFELD PA-C (NPI 1205224185) is an individual physician assistant in Cincinnati, Ohio, licensed in Ohio (50.004090) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, is affiliated with Mercy Health-anderson Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1205224185
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAUREN HERZFELDCredential: PA-C
Location Address601 IVY GTWY STE 2100Cincinnati, OH 45245-2052
Mailing Address601 Ivy Gtwy Ste 2100Cincinnati, OH 45245-2052 · (513) 752-8000 · Fax (513) 752-1078
Fax(513) 752-1078
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 31, 2014
Last NPPES UpdateJanuary 21, 2026
NPPES CertifiedJanuary 21, 2026
NPI 1205224185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OH · 50.004090
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
601 IVY GTWY STE 2100, Cincinnati, OH 45245

Other Names 1

Former Name (1)Lauren Blanton Pa-c

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 Herzfeld Pa-c 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 ID5496079717
PECOS Enrollment IDI20150115000269
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 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.
114 services75 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
59 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
59 services59 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.
57 services41 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
25 services20 patients
Urine microalbumin (protein) analysis 82044
Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.
19 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360001
Location7500 State RoadCincinnati, OH 45255 · Hamilton County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Mercy Health - Clermont Hospital

Acute Care Hospitals · Batavia, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360236
Location3000 Hospital DriveBatavia, OH 45103 · Clermont County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45245 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$184.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Family Medicine
601 IVY GTWY STE 2100
CINCINNATI, OH 45245
Family Medicine
601 IVY GTWY STE 2100
CINCINNATI, OH 45245
Nurse Practitioner (Gerontology)
601 IVY GTWY STE 2100
CINCINNATI, OH 45245
Internal Medicine
601 IVY GTWY STE 2100
CINCINNATI, OH 45245
Nurse Practitioner (Family)
601 IVY GTWY STE 2100
CINCINNATI, OH 45245
Nurse Practitioner (Family)
601 IVY GTWY STE 2100
CINCINNATI, OH 45245
Family Medicine
601 IVY GTWY STE 2100
CINCINNATI, OH 45245
Nurse Practitioner (Primary Care)
601 IVY GTWY STE 2100
CINCINNATI, OH 45245

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 Herzfeld's NPI number?

The NPI number for Lauren Herzfeld is 1205224185. It was assigned to this individual provider in the NPPES registry on December 31, 2014. The provider is also known as Lauren Blanton Pa-C.

Where is Lauren Herzfeld located?

Lauren Herzfeld practices at 601 Ivy Gtwy Ste 2100, Cincinnati, OH 45245. The listed phone number is (513) 752-8000.

What is Lauren Herzfeld's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lauren Herzfeld enrolled in Medicare?

Yes. Lauren Herzfeld 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 Herzfeld accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare and 1 other insurer list Lauren Herzfeld 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 Herzfeld affiliated with any hospitals?

According to CMS data, Lauren Herzfeld is affiliated with Mercy Health-Anderson Hospital, Mercy Health - West Hospital and Mercy Health - Clermont Hospital.

When was this NPI record last updated?

The NPPES record for Lauren Herzfeld was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.