LAWRENCE MICHAEL MALINCONICO MD
NPI 1215565080
Emergency Medicine in Worcester, MA
About Lawrence Michael Malinconico Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAWRENCE MICHAEL MALINCONICO MD (NPI 1215565080) is an individual emergency medicine provider in Worcester, Massachusetts, licensed in Massachusetts (1015066) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and is a graduate of Tufts University School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Lawrence Michael Malinconico 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.
Medicare Billing Reassignments
4Medicare enrollment records show Lawrence Malinconico reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Worcester, MA 01655
- Reassigned Medicare billing, Massachusetts enrollment
- 2,902 clinicians in this Medicare group
Milford, MA 01757
- Reassigned Medicare billing, Massachusetts enrollment
- 37 clinicians in this Medicare group
Boston, MA 02215
- Reassigned Medicare billing, Massachusetts enrollment
- Also billed through NPI 1952358533 (Massachusetts)
- 1,006 clinicians in this Medicare group
Boston, MA 02215
- Reassigned Medicare billing, Massachusetts enrollment
- Also billed through NPI 1316987993 (Massachusetts)
- 2,579 clinicians in this Medicare group
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 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Southcoast Hospitals Group
Acute Care Hospitals · Fall River, MAMilford Regional Medical Center
Acute Care Hospitals · Milford, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
WORCESTER, MA 01655
WORCESTER, MA 01655
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 Lawrence Malinconico's NPI number?
The NPI number for Lawrence Malinconico is 1215565080. It was assigned to this individual provider in the NPPES registry on March 29, 2020.
Where is Lawrence Malinconico located?
Lawrence Malinconico practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 421-1400.
What is Lawrence Malinconico's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Lawrence Malinconico enrolled in Medicare?
Yes. Lawrence Malinconico 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 Lawrence Malinconico's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lawrence Malinconico reassigns Medicare benefits to 4 organizations: Umass Memorial Medical Group Inc (Worcester, MA), Orion Emergency Services, Inc. (Milford, MA), Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is (Boston, MA) and Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA). 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 Lawrence Malinconico's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lawrence Malinconico accept?
Health plans from Taro Health and WellSense Health Plan list Lawrence Malinconico 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 Lawrence Malinconico affiliated with any hospitals?
According to CMS data, Lawrence Malinconico is affiliated with Southcoast Hospitals Group and Milford Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Lawrence Malinconico was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Lawrence Michael Malinconico, MD · NPI 1215565080
Emergency Medicine physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since March 29, 2020.
## Identity
- **NPI:** 1215565080 (Entity type: Individual)
- **Enumerated:** March 29, 2020
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 1015066 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, Worcester, MA 01655-0002
- **Phone:** (508) 421-1400 · **Fax:** (508) 421-1490
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Umass Memorial Medical Group Inc (NPI 1760445373, Worcester, MA); Orion Emergency Services, Inc. (NPI 1588728240, Milford, MA); Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is (NPI 1861216038, Boston, MA); Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (NPI 1194765438, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tufts University School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** March 27, 2023
- **Other identifiers:** Medicaid 110163528A (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1215565080) · Data from the CMS NPPES public registry.