DR. JEFFREY DAVID LAWLER M.D.
NPI 1295992386
Orthopaedic Surgery in Oxford, AL

Active since May 18, 2008PECOS EnrolledAccepts Medicare Assignment
74.19/100
CMS Quality Rating
1419 HAMRIC DR E STE 201, OXFORD, AL 36203(256) 241-4842(256) 241-3254 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jeffrey David Lawler M.d. NPPES

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

DR. JEFFREY DAVID LAWLER M.D. (NPI 1295992386) is an individual orthopaedic surgery provider in Oxford, Alabama, licensed in Alabama (MD.30847) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2006).

NPPES Registry Identity

NPI1295992386
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JEFFREY DAVID LAWLERCredential: M.D.
Location Address1419 HAMRIC DR E STE 201Oxford, AL 36203-2181
Mailing Address1419 Hamric Dr E Ste 201Oxford, AL 36203-2181 · (256) 241-4842 · Fax (256) 241-3254
Fax(256) 241-3254
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2006
Enumeration DateMay 18, 2008
Last NPPES UpdateApril 5, 2024
NPPES CertifiedApril 5, 2024
NPI 1295992386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in AL · MD.30847 Licensed in NC · 134560
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1419 HAMRIC DR E STE 201, Oxford, AL 36203

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

Dr. Jeffrey David Lawler M.d. 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 ID345410692
PECOS Enrollment IDI20110824000844
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 24

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
2,284 services186 patients
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.
377 services244 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
326 services186 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.
231 services196 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
137 services137 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
98 services82 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36203 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

74.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality82.1
Improvement Activities40
Cost37.84

Reported Quality Measures

Documentation of Current Medications in the Medical Record
98%3,997 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
91%813 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
73%1,370 patients3/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 1,141 patients
Patients screened: 99% · 1,141 patients
99%110 patients4/55-star benchmark: 100%
Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.04%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 827 patients
Patients totalRate: 1% · 827 patients
1%827 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
4 suppliers19 claims19 services$60.40 avg. paid by Medicare
Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier12 claims12 services$9.88 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
2 suppliers13 claims13 services$64.51 avg. paid by Medicare
Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
1 supplier28 claims541 services$18.12 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
3 suppliers18 claims19 services$43.69 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 2

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

Orthopaedic Surgery
1419 HAMRIC DR E STE 201
OXFORD, AL 36203
Orthopaedic Surgery
1419 HAMRIC DR E STE 201
OXFORD, AL 36203

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 Jeffrey Lawler's NPI number?

The NPI number for Jeffrey Lawler is 1295992386. It was assigned to this individual provider in the NPPES registry on May 18, 2008.

Where is Jeffrey Lawler located?

Jeffrey Lawler practices at 1419 Hamric Dr E Ste 201, Oxford, AL 36203. The listed phone number is (256) 241-4842.

What is Jeffrey Lawler's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jeffrey Lawler enrolled in Medicare?

Yes. Jeffrey Lawler 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 Jeffrey Lawler accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Jeffrey Lawler 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 Jeffrey Lawler was last updated on April 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.