LAUREN MACCHIO PA-C
NPI 1235707514
Physician Assistant in Warwick, RI

Q: What is Lauren Macchio's NPI number?

The NPI number for Lauren Macchio is 1235707514. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Q: What is Lauren Macchio's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lauren Macchio was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since June 14, 2021PECOS EnrolledAccepts Medicare Assignment

3520 POST RD, WARWICK, RI 02886(401) 921-5800(401) 921-5826 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2024, Jul 27, 2023, Jan 18, 2022 and 3 more (6 updates tracked since 2021).

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About Lauren Macchio Pa-c NPPES

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

LAUREN MACCHIO PA-C (NPI 1235707514) is an individual physician assistant in Warwick, Rhode Island, licensed in Rhode Island (PA01366) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Kent County Memorial Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1235707514

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLAUREN MACCHIOCredential: PA-C

Location Address3520 POST RDWarwick, RI 02886-7140

Mailing Address3520 Post RdWarwick, RI 02886-7140 · (401) 921-5800 · Fax (401) 921-5826

Phone(401) 921-5800

Fax(401) 921-5826

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 14, 2021

Last NPPES UpdateAugust 8, 20246 updates tracked since enumeration

NPPES CertifiedAugust 8, 2024

✔ NPI 1235707514 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 RI · PA01366

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.

3520 POST RD, Warwick, RI 02886

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Secondary Practice Locations 4

Location 1593 Eddy StProvidence, RI 02903-4923 · Phone (401) 444-4000

Location 2101 Dudley StProvidence, RI 02905-2401 · Phone (401) 453-7950 · Fax (401) 453-7658

Location 3400 Warren Ave Fl 2East Providence, RI 02914-3826 · Phone (401) 435-5644 · Fax (401) 921-5826

Location 4455 Toll Gate RdWarwick, RI 02886-2759 · Phone (401) 737-7010 · Fax (401) 736-4546

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 Macchio 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 ID1153713086

PECOS Enrollment IDI20220126001171

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 3

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 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.

78 services73 patients

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.

32 services30 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.

21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI

3/5 CMS rating

OwnershipProprietary

CMS Certification Number410009

Location455 Toll Gate RdWarwick, RI 02886 · Kent County

Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02886 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

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.

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Other Providers at the Same Location NPPES 15

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

ELENA PAVLIK LVOV APRN

Nurse Practitioner (Family)