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DR. LAUREN K BARLOW M.D.
NPI 1417244518
Emergency Medicine in Appleton, WI

Active since July 09, 2011PECOS Enrolled
1506 S ONEIDA ST, APPLETON, WI 54915(920) 738-2000 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lauren K Barlow M.d. NPPES

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

DR. LAUREN K BARLOW M.D. (NPI 1417244518) is an individual emergency medicine provider in Appleton, Wisconsin, licensed in Wisconsin (69235) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417244518
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. LAUREN K BARLOWCredential: M.D.
Location Address1506 S ONEIDA STAppleton, WI 54915
Mailing Address111 E Wisconsin Ave Ste 2000Milwaukee, WI 53202-4809 · (414) 290-6720 · Fax (414) 290-6755
Phone(920) 738-2000
Sole ProprietorNo
Enumeration DateJuly 9, 2011
Last NPPES UpdateAugust 7, 2018
✔ NPI 1417244518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WI · 69235
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1506 S ONEIDA ST, Appleton, WI 54915
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lauren K Barlow M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
179 services151 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
121 services115 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
74 services70 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
70 services68 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54915 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%21 patients5/55-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.

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.

FOX VALLEY NEONATOLOGY SC
Pediatrics (Neonatal-Perinatal Medicine)
1506 S ONEIDA ST
APPLETON, WI 54915
Calumet County (920) 738-2000
ANNA QUELLA RD, LD, MS
Dietitian, Registered
1506 S ONEIDA ST
APPLETON, WI 54915
Calumet County (920) 831-1602
ASCENSION NE WISCONSIN, INC
Skilled Nursing Facility
1506 S ONEIDA ST
APPLETON, WI 54915
Calumet County (920) 720-1464
KAYLA MARIE LETTERMAN DPT
Physical Therapist
1506 S ONEIDA ST
APPLETON, WI 54915
Calumet County (920) 738-2681
BESSANT A PARKER MD
Hospitalist
1506 S ONEIDA ST, HOSPITAL SERVICE DEPARTMENT
APPLETON, WI 54915
Calumet County (920) 738-2000
DR. JOSEPH DOMINIC CHABOT D.O.
Neurological Surgery
1506 S ONEIDA ST
APPLETON, WI 54915
Calumet County (920) 738-2000
PANKAJ JAIN
Pediatrics (Neonatal-Perinatal Medicine)
1506 S ONEIDA ST
APPLETON, WI 54915
Calumet County (920) 730-7670
SAMUEL A. SOUTHARD CRNA
Nurse Anesthetist, Certified Registered
1506 S ONEIDA ST
APPLETON, WI 54915
Calumet County (920) 738-2000

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 Barlow's NPI number?

The NPI number for Lauren Barlow is 1417244518. It was assigned to this individual provider in the NPPES registry on July 9, 2011.

Where is Lauren Barlow located?

Lauren Barlow practices at 1506 S Oneida St, Appleton, WI 54915. The listed phone number is (920) 738-2000.

What is Lauren Barlow's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Lauren Barlow enrolled in Medicare?

Yes. Lauren Barlow is registered in the Medicare PECOS enrollment system.

What insurance does Lauren Barlow accept?

Health plans from CareSource (Common Ground Healthcare) list Lauren Barlow 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 Lauren Barlow was last updated on August 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.