ALAN A. LAWRENCE MD
NPI 1265490288
Surgery in Watertown, SD

Active since May 01, 2006PECOS Enrolled
90.25/100
CMS Quality Rating
511 14TH AVE NE, WATERTOWN, SD 57201(605) 886-8482(605) 884-4300 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alan A. Lawrence Md NPPES

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

ALAN A. LAWRENCE MD (NPI 1265490288) is an individual surgery provider in Watertown, South Dakota, licensed in South Dakota (3979) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265490288
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameALAN A. LAWRENCECredential: MD
Location Address511 14TH AVE NEWatertown, SD 57201-6811
Mailing Address506 1st Ave SeWatertown, SD 57201-4402 · (605) 886-8482 · Fax (605) 884-4300
Fax(605) 884-4300
Sole ProprietorNo
Enumeration DateMay 1, 2006
Last NPPES UpdateAugust 19, 2020
NPPES CertifiedAugust 19, 2020
✔ NPI 1265490288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in SD · 3979
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
511 14TH AVE NE, Watertown, SD 57201

Other Identifiers 1

Medicaid7301413SD

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alan A. Lawrence Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Alan Lawrence reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
4 1ST AVE SE
Kulm, ND 58456
  • Reassigned Medicare billing, North Dakota enrollment
  • Also billed through NPI 1295772804 (North Dakota)
  • 18 clinicians in this Medicare group
Rural Health
4401 MAIN ST
Selby, SD 57472
  • Reassigned Medicare billing, South Dakota enrollment
  • 25 clinicians in this Medicare group
Critical Access
111 W ELM AVE
Linton, ND 58552
  • Reassigned Medicare billing, North Dakota enrollment
  • 9 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57201 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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.

90.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Physician Assistant
511 14TH AVE NE
WATERTOWN, SD 57201
Physician Assistant
511 14TH AVE NE
WATERTOWN, SD 57201
Family Medicine
511 14TH AVE NE
WATERTOWN, SD 57201
Pediatrics
511 14TH AVE NE
WATERTOWN, SD 57201
Family Medicine
511 14TH AVE NE
WATERTOWN, SD 57201
Family Medicine
511 14TH AVE NE
WATERTOWN, SD 57201
Family Medicine
511 14TH AVE NE
WATERTOWN, SD 57201
Family Medicine
511 14TH AVE NE
WATERTOWN, SD 57201

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 Alan Lawrence's NPI number?

The NPI number for Alan Lawrence is 1265490288. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Alan Lawrence located?

Alan Lawrence practices at 511 14th Ave NE, Watertown, SD 57201. The listed phone number is (605) 886-8482.

What is Alan Lawrence's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Alan Lawrence enrolled in Medicare?

Yes. Alan Lawrence is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alan Lawrence's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alan Lawrence reassigns Medicare benefits to 3 organizations: Wishek Hospital-Clinic Association (Kulm, ND), Mobridge Regional Hospital (Selby, SD) and Linton Hospital (Linton, ND). 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 Alan Lawrence's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alan Lawrence accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of North Dakota and Wellmark of South Dakota, Inc. list Alan 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.

When was this NPI record last updated?

The NPPES record for Alan Lawrence was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.