DR. LAUREN N. BUCHHEIM MD
NPI 1255674669
Psychiatry & Neurology - Psychiatry in Glen Oaks, NY

Q: What is Lauren Buchheim's NPI number?

The NPI number for Lauren Buchheim is 1255674669. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Q: What is Lauren Buchheim's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Lauren Buchheim was last updated on July 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 03, 2013PECOS EnrolledAccepts Medicare Assignment

98.06/100

CMS Quality Rating

7559 263RD ST, GLEN OAKS, NY 11004(516) 470-8100 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 18, 2024, May 31, 2019, Mar 19, 2016 (3 updates tracked since 2016).

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About Dr. Lauren N. Buchheim Md NPPES

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

DR. LAUREN N. BUCHHEIM MD (NPI 1255674669) is an individual psychiatry provider in Glen Oaks, New York, licensed in Maine (MD21514) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Westwood, and is a graduate of Creighton University School Of Medicine (2013).

NPPES Registry Identity

NPI1255674669

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. LAUREN N. BUCHHEIMCredential: MD

Location Address7559 263RD STGlen Oaks, NY 11004-1150

Mailing Address123 Andover RdWestbrook, ME 04092-3848 · (207) 661-6102

Phone(516) 470-8100

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2013

Enumeration DateApril 3, 2013

Last NPPES UpdateJuly 18, 20243 updates tracked since enumeration

NPPES CertifiedJuly 18, 2024

✔ NPI 1255674669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in ME · MD21514

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

7559 263RD ST, Glen Oaks, NY 11004

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Secondary Practice Location 1

Location 1410 University Ave # Exma1365Westwood, MA 02090-2311 · Phone (207) 200-3409

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Dr. Lauren N. Buchheim 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.

PECOS PAC ID2062786981

PECOS Enrollment IDI20170915002058

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

23 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11004 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

$201.98 typical visit price

range $67.00 – $201.98

Typical copayment $50.49 (range $16.75 – $50.49)

Most-billed visit code 99205

Established Patient

$82.96 typical visit price

range $21.62 – $163.52

Typical copayment $20.74 (range $5.40 – $40.88)

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.

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.

98.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.13

Promoting Interoperability

100

Improvement Activities

Leave this field empty

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.

AVRELIYA SHAPIRO M.D.

Psychiatry & Neurology (Psychiatry)