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DR. SUSAN MARIE LAURENCE D.O.
NPI 1316109960
Internal Medicine in Paoli, PA

Active since June 25, 2008PECOS EnrolledAccepts Medicare Assignment
255 W LANCASTER AVE, PAOLI, PA 19301(484) 565-1510(484) 565-1512 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2023, Sep 24, 2020, Feb 26, 2016 (3 updates tracked since 2016).

About Dr. Susan Marie Laurence D.o. NPPES

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

DR. SUSAN MARIE LAURENCE D.O. (NPI 1316109960) is an individual internal medicine provider in Paoli, Pennsylvania, licensed in Pennsylvania (OS014867) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Paoli Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1316109960
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SUSAN MARIE LAURENCECredential: D.O.
Location Address255 W LANCASTER AVEPaoli, PA 19301-1763
Mailing Address255 W Lancaster AvePaoli, PA 19301-1763 · (484) 565-1510 · Fax (484) 565-1512
Phone(484) 565-1510
Fax(484) 565-1512
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 25, 2008
Last NPPES UpdateJune 29, 20233 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
✔ NPI 1316109960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · OS014867
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
255 W LANCASTER AVE, Paoli, PA 19301
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Other Names 1

Former Name (1)Dr. Susan Marie Marchiano Do

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.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. Susan Marie Laurence D.o. 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 ID1658663570
PECOS Enrollment IDI20160713000281
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 5

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
283 services135 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
94 services90 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
55 services53 patients
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.
52 services37 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
43 services42 patients

Hospital Affiliations CMS Care Compare

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

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19301 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$12.89 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$61.89 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers14 claims14 services$14.83 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.

TALIA LAGRAVINESE CRNP
Nurse Practitioner (Acute Care)
255 W LANCASTER AVE
PAOLI, PA 19301
Chester County (484) 565-1510
EMILY JANE DAMICO
Physician Assistant
255 W LANCASTER AVE
PAOLI, PA 19301
Chester County (215) 429-1003
MRS. LYNN B WOLFF CRNP
Nurse Practitioner (Acute Care)
255 W LANCASTER AVE
PAOLI, PA 19301
Chester County (484) 565-1600
MARY ANITA DILLOWAY MD
Pediatrics
255 W LANCASTER AVE, MOB 1 STE 101
PAOLI, PA 19301
Chester County (610) 644-9380
DR. SCOTT A. OLEX D.O.
Hospitalist
255 W LANCASTER AVE
PAOLI, PA 19301
Chester County (484) 565-1510
DR. JANIS ZVARGULIS M.D.
Anesthesiology
255 W LANCASTER AVE
PAOLI, PA 19301
Chester County (484) 565-1020
PAOLI PEDIATRICS PC
Pediatrics
255 W LANCASTER AVE, MOB 1 SUITE 101
PAOLI, PA 19301
Chester County (610) 644-9380
ADVOCARE, LLC
Hospitalist
255 W LANCASTER AVE
PAOLI, PA 19301
Chester County (610) 308-5755

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 Susan Laurence's NPI number?

The NPI number for Susan Laurence is 1316109960. It was assigned to this individual provider in the NPPES registry on June 25, 2008. The provider is also known as Dr. Susan Marie Marchiano Do.

Where is Susan Laurence located?

Susan Laurence practices at 255 W Lancaster Ave, Paoli, PA 19301. The listed phone number is (484) 565-1510.

What is Susan Laurence's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Susan Laurence enrolled in Medicare?

Yes. Susan Laurence 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 Susan Laurence accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Susan Laurence 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 Susan Laurence affiliated with any hospitals?

According to CMS data, Susan Laurence is affiliated with Paoli Hospital.

When was this NPI record last updated?

The NPPES record for Susan Laurence was last updated on June 29, 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.