DR. BRIAN C LAWLER MD
NPI 1235111279
Radiology - Vascular & Interventional Radiology in Edgewood, KY
About Dr. Brian C Lawler Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRIAN C LAWLER MD (NPI 1235111279) is an individual vascular & interventional radiology provider in Edgewood, Kentucky, licensed in Ohio (35.094777) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Dearborn Hospital, and is a graduate of Ohio State University College Of Medicine (1995).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 3
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
Dr. Brian C Lawler 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 Brian Lawler reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edgewood, KY 41017
- Reassigned Medicare billing, Indiana, Kentucky and Ohio enrollments
- 32 clinicians in this Medicare group
Edgewood, KY 41017
- Reassigned Medicare billing, Kentucky enrollment
- 275 clinicians in this Medicare group
Cincinnati, OH 45219
- Reassigned Medicare billing, Ohio enrollment
- 68 clinicians in this Medicare group
Cincinnati, OH 45219
- Reassigned Medicare billing, Ohio enrollment
- 96 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 28
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Elizabeth Dearborn Hospital
Acute Care Hospitals · Lawrenceburg, INSt Elizabeth Ft Thomas
Acute Care Hospitals · Fort Thomas, KYSt Elizabeth Edgewood
Acute Care Hospitals · Edgewood, KYSt Elizabeth Florence
Acute Care Hospitals · Florence, KYSt Elizabeth Grant
Critical Access Hospitals · Williamstown, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 41017 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.
EDGEWOOD, KY 41017
EDGEWOOD, KY 41017
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 Brian Lawler's NPI number?
The NPI number for Brian Lawler is 1235111279. It was assigned to this individual provider in the NPPES registry on November 16, 2005.
Where is Brian Lawler located?
Brian Lawler practices at 1 Medical Village Dr Attn: Radiology Dept, Edgewood, KY 41017. The listed phone number is (859) 301-2160.
What is Brian Lawler's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.
Is Brian Lawler enrolled in Medicare?
Yes. Brian Lawler 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 Brian Lawler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brian Lawler reassigns Medicare benefits to 4 organizations: Radiology Associates Of Northern Kentucky, PLLC (Edgewood, KY), St. Elizabeth Medical Center, Inc. (Edgewood, KY), Tri State Urologic Services Psc Inc (Cincinnati, OH) and Gcga Physicians Inc. (Cincinnati, OH). 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 Brian Lawler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brian Lawler accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 2 other insurers list Brian Lawler 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 Brian Lawler affiliated with any hospitals?
According to CMS data, Brian Lawler is affiliated with St Elizabeth Dearborn Hospital, St Elizabeth Ft Thomas, St Elizabeth Edgewood, St Elizabeth Florence and St Elizabeth Grant.
When was this NPI record last updated?
The NPPES record for Brian Lawler was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.