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DR. DAVID LAWLOR MD
NPI 1295711323
Surgery - Pediatric Surgery in Boston, MA

Active since December 20, 2005PECOS EnrolledAccepts Medicare Assignment
55 FRUIT ST, PEDIATRIC SURGERY WRN 11, BOSTON, MA 02114(617) 726-8858(617) 726-2167 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. David Lawlor Md NPPES

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

DR. DAVID LAWLOR MD (NPI 1295711323) is an individual pediatric surgery provider in Boston, Massachusetts, licensed in Massachusetts (74011) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kalispell, and is a graduate of Geisel School Of Medicine At Dartmouth (1987).

NPPES Registry Identity

NPI1295711323
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameDR. DAVID LAWLORCredential: MD
Location Address55 FRUIT ST, PEDIATRIC SURGERY WRN 11Boston, MA 02114-2696
Mailing AddressPo Box 9142, Mass General Physician OrganizationCharlestown, MA 02129-9142 · (617) 726-8858 · Fax (617) 726-2167
Phone(617) 726-8858
Fax(617) 726-2167
Sole ProprietorYes
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 1987
Enumeration DateDecember 20, 2005
Last NPPES UpdateDecember 11, 2024
NPPES CertifiedDecember 11, 2024
✔ NPI 1295711323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses✔ Licensed in MA · 74011✔ Licensed in MT · 74015
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedSurgeryTaxonomy 208600000X · License 74011 (MA)
55 FRUIT ST, Boston, MA 02114
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Secondary Practice Location 1

Location 1202 Conway Dr Ste 200Kalispell, MT 59901-3153 · Phone (406) 758-7490 · Fax (406) 758-7080

Other Identifiers 3

OtherJ22667MA · Bcbs Ma
Medicaid0101524MA
Other074011MA · Tufts Health Plan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David Lawlor 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 ID8224061114
PECOS Enrollment IDI20050912000981
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

5

Medicare enrollment records show David Lawlor reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Massachusetts General Physicians Organization Inc
Same address
Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts and New Hampshire enrollments
  • 6,360 clinicians in this Medicare group
NPI 1801874573 (617) 724-0287
The General Hospital Corporation
Same address
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group
NPI 1023049236 (617) 726-2000
The Shriners' Hospital For Children
0.1 mi
Pediatric Surgery
51 BLOSSOM ST
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 128 clinicians in this Medicare group
NPI 1366886525 (617) 371-2300
Elliot Professional Services
46 mi
Internal Medicine
1070 HOLT AVE, UNIT 1, SUITE 2200
Manchester, NH 03109
  • Reassigned Medicare billing, New Hampshire enrollment
  • 446 clinicians in this Medicare group
NPI 1285627935 (603) 663-4900
Kalispell Regional Medical Center Inc
2,108 mi
Primary Care
8299 MT HIGHWAY 35
Bigfork, MT 59911
  • Reassigned Medicare billing, Montana enrollment
  • 483 clinicians in this Medicare group
NPI 1164726428 (406) 837-5541

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$4.92 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier12 claims288 services$2.50 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
1 supplier12 claims48 services$5.53 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$7.75 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$3.40 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims600 services$0.23 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.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

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 David Lawlor's NPI number?

The NPI number for David Lawlor is 1295711323. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is David Lawlor located?

David Lawlor practices at 55 Fruit St Pediatric Surgery Wrn 11, Boston, MA 02114. The listed phone number is (617) 726-8858.

What is David Lawlor's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is David Lawlor enrolled in Medicare?

Yes. David Lawlor 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.

Which organizations bill Medicare for David Lawlor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Lawlor reassigns Medicare benefits to 5 organizations: Massachusetts General Physicians Organization Inc (Boston, MA), The General Hospital Corporation (Boston, MA), The Shriners' Hospital For Children (Boston, MA), Elliot Professional Services (Manchester, NH) and Kalispell Regional Medical Center Inc (Bigfork, MT). 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 David Lawlor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Lawlor accept?

Health plans from AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and PacificSource Health Plans and 2 other insurers list David Lawlor 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 David Lawlor was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.