LAUREN GUILES PA
NPI 1255857330
Physician Assistant in Rochester Hills, MI

Active since August 21, 2017PECOS EnrolledAccepts Medicare Assignment
93.62/100
CMS Quality Rating
2915 WALTON BLVD, ROCHESTER HILLS, MI 48309(248) 759-4222 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 14, 2023, Dec 1, 2017, Aug 21, 2017 (3 updates tracked since 2017).

About Lauren Guiles Pa NPPES

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

LAUREN GUILES PA (NPI 1255857330) is an individual physician assistant in Rochester Hills, Michigan and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Hurley Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1255857330
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAUREN GUILESCredential: PA
Location Address2915 WALTON BLVDRochester Hills, MI 48309-1419
Mailing Address2915 Walton BlvdRochester Hills, MI 48309-1419 · (248) 759-4222
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 21, 2017
Last NPPES UpdateJune 14, 20233 updates tracked since enumeration
NPPES CertifiedJune 14, 2023
NPI 1255857330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
2915 WALTON BLVD, Rochester Hills, MI 48309

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

Lauren Guiles Pa 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 ID941564975
PECOS Enrollment IDI20180427001654
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 2

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.
25 services25 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Hurley Medical Center

Acute Care Hospitals · Flint, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230132
LocationOne Hurley PlazaFlint, MI 48503 · Genesee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48309 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

93.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.81
Promoting Interoperability100
Improvement Activities40
Cost82.06

Other Providers at the Same Location NPPES 8

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

Physician Assistant (Medical)
2915 WALTON BLVD
ROCHESTER HILLS, MI 48309
Optometrist
2915 WALTON BLVD
ROCHESTER HILLS, MI 48309
Clinic/Center (Urgent Care)
2915 WALTON BLVD
ROCHESTER HILLS, MI 48309
Optometrist
2915 WALTON BLVD
ROCHESTER HILLS, MI 48309
Optometrist
2915 WALTON BLVD
ROCHESTER HILLS, MI 48309
Physician Assistant
2915 WALTON BLVD
ROCHESTER HILLS, MI 48309
Optometrist
2915 WALTON BLVD
ROCHESTER HILLS, MI 48309
Optometrist
2915 WALTON BLVD
ROCHESTER HILLS, MI 48309

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 Guiles's NPI number?

The NPI number for Lauren Guiles is 1255857330. It was assigned to this individual provider in the NPPES registry on August 21, 2017.

Where is Lauren Guiles located?

Lauren Guiles practices at 2915 Walton Blvd, Rochester Hills, MI 48309. The listed phone number is (248) 759-4222.

What is Lauren Guiles's specialty?

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

Is Lauren Guiles enrolled in Medicare?

Yes. Lauren Guiles 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 Lauren Guiles accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Lauren Guiles 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 Lauren Guiles affiliated with any hospitals?

According to CMS data, Lauren Guiles is affiliated with Hurley Medical Center.

When was this NPI record last updated?

The NPPES record for Lauren Guiles was last updated on June 14, 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.