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DR. LAUREN NADKARNI MD
NPI 1407233497
Family Medicine in Lewiston, ME

Active since April 29, 2015PECOS EnrolledAccepts Medicare Assignment
83.95/100
CMS Quality Rating
76 HIGH ST, LEWISTON, ME 04240(207) 795-2800 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lauren Nadkarni Md NPPES

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

DR. LAUREN NADKARNI MD (NPI 1407233497) is an individual family medicine provider in Lewiston, Maine, licensed in Maine (MD22950) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Central Maine Medical Center, and is a graduate of Tufts University School Of Medicine (2015).

NPPES Registry Identity

NPI1407233497
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LAUREN NADKARNICredential: MD
Location Address76 HIGH STLewiston, ME 04240-7649
Mailing AddressPo Box 4100Lewiston, ME 04243-4100
Phone(207) 795-2800
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 2015
Enumeration DateApril 29, 2015
Last NPPES UpdateDecember 4, 2020
NPPES CertifiedDecember 4, 2020
✔ NPI 1407233497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · MD22950
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License MD22950 (ME)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
76 HIGH ST, Lewiston, ME 04240
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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. Lauren Nadkarni 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 ID42524266
PECOS Enrollment IDI20200324000090
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 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.
16 services16 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200024
Location300 Main StreetLewiston, ME 04240 · Androscoggin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

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.

83.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.69
Promoting Interoperability98
Improvement Activities40
Cost70.81

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.

BROCK TOSTENSON MD
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2800
LEO PARASKEVOPOULOS MD
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2800
ELIZA FOSTER DO
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2800
LARRY SPENCER FITCH DO
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2800
BRONTE ROBERTS LCPCC, LADC
Counselor (Professional)
76 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2800
PATRICIA COLLINS DO
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2800
RYAN JOHNSON DO
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2800
AL-ELAD PRIVOROZKY MD
Family Medicine
76 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2800

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 Nadkarni's NPI number?

The NPI number for Lauren Nadkarni is 1407233497. It was assigned to this individual provider in the NPPES registry on April 29, 2015.

Where is Lauren Nadkarni located?

Lauren Nadkarni practices at 76 High St, Lewiston, ME 04240. The listed phone number is (207) 795-2800.

What is Lauren Nadkarni's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lauren Nadkarni enrolled in Medicare?

Yes. Lauren Nadkarni 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.

Is Lauren Nadkarni affiliated with any hospitals?

According to CMS data, Lauren Nadkarni is affiliated with Central Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Lauren Nadkarni was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.