JOHN MATTHEW LAWRENCE
NPI 1235401712
Physician Assistant in Gaylord, MI

Active since January 31, 2012PECOS EnrolledAccepts Medicare Assignment
829 N CENTER AVE, SUITE 210, GAYLORD, MI 49735(989) 731-7860(989) 731-7833 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Matthew Lawrence NPPES

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

JOHN MATTHEW LAWRENCE (NPI 1235401712) is an individual physician assistant in Gaylord, Michigan, licensed in Michigan (5601006263) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS, is affiliated with Mclaren Northern Michigan, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1235401712
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOHN MATTHEW LAWRENCE
Location Address829 N CENTER AVE, SUITE 210Gaylord, MI 49735-1595
Mailing Address829 N Center Ave, Suite 298Gaylord, MI 49735-1595 · (989) 731-7708 · Fax (989) 731-7929
Fax(989) 731-7833
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 31, 2012
Last NPPES UpdateDecember 22, 2020
NPPES CertifiedDecember 22, 2020
NPI 1235401712 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 MI · 5601006263
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.
829 N CENTER AVE, Gaylord, MI 49735

Other Identifiers 1

OtherOF96004Medicare Group Number

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

John Matthew Lawrence 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 ID1052577947
PECOS Enrollment IDI20120720000466
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 13

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.
199 services124 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
140 services12 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.
117 services103 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
53 services53 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
28 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230105
Location416 Connable AvePetoskey, MI 49770 · Emmet County
Emergency services Birthing friendly

Munson Healthcare Otsego Memorial Hospital

Acute Care Hospitals · Gaylord, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230133
Location825 N Center AveGaylord, MI 49735 · Otsego County
Birthing friendly

Charlevoix Area Hospital

Critical Access Hospitals · Charlevoix, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231322
Location14700 Lakeshore DriveCharlevoix, MI 49720 · Charlevoix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49735 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $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 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers30 claims78 services$4.71 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims16 services$0.93 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers13 claims13 services$7.19 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers11 claims11 services$19.65 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 20

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

Surgery
829 N CENTER AVE, SUITE 120
GAYLORD, MI 49735
Internal Medicine
829 N CENTER AVE, SUITE 140
GAYLORD, MI 49735
Internal Medicine
829 N CENTER AVE, SUITE 140
GAYLORD, MI 49735
Clinic/Center (Rural Health)
829 N CENTER AVE
GAYLORD, MI 49735
Nurse Practitioner (Family)
829 N CENTER AVE, SUITE 210
GAYLORD, MI 49735
Obstetrics & Gynecology
829 N CENTER AVE, SUITE 200
GAYLORD, MI 49735
Internal Medicine
829 N CENTER AVE, SUITE 140
GAYLORD, MI 49735
Family Medicine
829 N CENTER AVE, SUITE 210
GAYLORD, MI 49735

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 John Lawrence's NPI number?

The NPI number for John Lawrence is 1235401712. It was assigned to this individual provider in the NPPES registry on January 31, 2012.

Where is John Lawrence located?

John Lawrence practices at 829 N Center Ave Suite 210, Gaylord, MI 49735. The listed phone number is (989) 731-7860.

What is John Lawrence's specialty?

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

Is John Lawrence enrolled in Medicare?

Yes. John Lawrence 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 John Lawrence accept?

Health plans from McLaren Health Plan Community and Priority Health list John Lawrence 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 John Lawrence affiliated with any hospitals?

According to CMS data, John Lawrence is affiliated with Mclaren Northern Michigan, Munson Healthcare Otsego Memorial Hospital and Charlevoix Area Hospital.

When was this NPI record last updated?

The NPPES record for John Lawrence was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.