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LAUREN JOHNSON O'SULLIVAN D.O.
NPI 1316983679
Obstetrics & Gynecology - Gynecology in Bend, OR

Active since June 22, 2006PECOS EnrolledCLIA 38D0628333 · Microscopy
1102 NE 4TH ST, BEND, OR 97701(541) 389-0450 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lauren Johnson O'sullivan D.o. NPPES

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

LAUREN JOHNSON O'SULLIVAN D.O. (NPI 1316983679) is an individual gynecology provider in Bend, Oregon, licensed in Oregon (DO26683) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through December 31, 2027, and is affiliated with St Charles Medical Center - Bend.

NPPES Registry Identity

NPI1316983679
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameLAUREN JOHNSON O'SULLIVANCredential: D.O.
Location Address1102 NE 4TH STBend, OR 97701-4533
Mailing Address1102 Ne 4th StBend, OR 97701-4533 · (541) 389-0450
Phone(541) 389-0450
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2002
Enumeration DateJune 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1316983679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in OR · DO26683
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1102 NE 4TH ST, Bend, OR 97701
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren Johnson O'sullivan D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375544455
PECOS Enrollment IDI20070117000248
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 Reassignment

Medicare enrollment records show Lauren O'sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lauren Johnson Osullivan
Same address
Gynecology
1102 NE 4TH ST
Bend, OR 97701
  • Reassigned Medicare billing, Oregon enrollment
  • 3 clinicians in this Medicare group
NPI 1669660213 (541) 389-0450

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 38D0628333

Lauren O'sullivan Do · Bend, OR
Active · expires Dec 31, 2027
CLIA Number38D0628333
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorLauren O'sullivan Do
Laboratory Phone(541) 389-0450
Laboratory LocationLauren O'sullivan Do1102 NE 4th St, Bend, OR 97701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 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.
75 services66 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
46 services43 patients

Hospital Affiliations CMS Care Compare

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

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380047
Location2500 NE Neff RoadBend, OR 97701 · Deschutes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97701 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

Other Providers at the Same Location NPPES 5

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

DR. KRISTI J JETT MD
Obstetrics & Gynecology (Gynecology)
1102 NE 4TH ST
BEND, OR 97701
Deschutes County (541) 389-0450
KRISTI JETT, MD
Neuromusculoskeletal Medicine, Sports Medicine
1102 NE 4TH ST
BEND, OR 97701
Deschutes County (541) 389-0450
LAUREN JOHNSON OSULLIVAN
Obstetrics & Gynecology (Gynecology)
1102 NE 4TH ST
BEND, OR 97701
Deschutes County (541) 389-0450
LINDY J VRANIAK MD
Obstetrics & Gynecology
1102 NE 4TH ST
BEND, OR 97701
Deschutes County (541) 389-0450
CARLIE JOHNSON BAIOCCHI NP
Nurse Practitioner (Women's Health)
1102 NE 4TH ST
BEND, OR 97701
Deschutes County (541) 389-0450

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 O'sullivan's NPI number?

The NPI number for Lauren O'sullivan is 1316983679. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Lauren O'sullivan located?

Lauren O'sullivan practices at 1102 NE 4th St, Bend, OR 97701. The listed phone number is (541) 389-0450.

What is Lauren O'sullivan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Lauren O'sullivan enrolled in Medicare?

Yes. Lauren O'sullivan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lauren O'sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren O'sullivan reassigns Medicare benefits to Lauren Johnson Osullivan (Bend, OR). The 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 Lauren O'sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Lauren O'sullivan hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 38D0628333) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Lauren O'sullivan affiliated with any hospitals?

According to CMS data, Lauren O'sullivan is affiliated with St Charles Medical Center - Bend.

When was this NPI record last updated?

The NPPES record for Lauren O'sullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.