DR. LAUREN KEELY CARLISLE M.D.
NPI 1225077423
Pediatrics in Asheville, NC

Active since June 05, 2006PECOS Enrolled
40 N MERRIMON AVE STE 117, ASHEVILLE, NC 28804(828) 348-8232(855) 323-6740 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lauren Keely Carlisle M.d. NPPES

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

DR. LAUREN KEELY CARLISLE M.D. (NPI 1225077423) is an individual pediatrics provider in Asheville, North Carolina, licensed in North Carolina (2006-00215) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225077423
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. LAUREN KEELY CARLISLECredential: M.D.
Location Address40 N MERRIMON AVE STE 117Asheville, NC 28804-1368
Mailing Address40 N Merrimon Ave Ste 117Asheville, NC 28804-1368 · (828) 348-8232 · Fax (855) 323-6740
Fax(855) 323-6740
Sole ProprietorNo
Enumeration DateJune 5, 2006
Last NPPES UpdateJanuary 23, 2023
NPPES CertifiedJanuary 23, 2023
NPI 1225077423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NC · 2006-00215
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
40 N MERRIMON AVE STE 117, Asheville, NC 28804

Other Identifiers 1

Medicaid1483460NC

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 (PECOS)

Dr. Lauren Keely Carlisle M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28804 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Reported Quality Measures

Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
35%243 patients2/55-star benchmark: 96%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 86% · 1,174 patients
Patients physicalActivity: 86% · 1,174 patients
99%1,174 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

Pediatrics
40 N MERRIMON AVE STE 117
ASHEVILLE, NC 28804
Pediatrics
40 N MERRIMON AVE STE 117
ASHEVILLE, NC 28804
Pediatrics
40 N MERRIMON AVE STE 117
ASHEVILLE, NC 28804

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 Carlisle's NPI number?

The NPI number for Lauren Carlisle is 1225077423. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Lauren Carlisle located?

Lauren Carlisle practices at 40 N Merrimon Ave Ste 117, Asheville, NC 28804. The listed phone number is (828) 348-8232.

What is Lauren Carlisle's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lauren Carlisle enrolled in Medicare?

Yes. Lauren Carlisle is registered in the Medicare PECOS enrollment system.

What insurance does Lauren Carlisle accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Lauren Carlisle 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 Carlisle was last updated on January 23, 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.