DR. LAUREN K BARLOW M.D.
NPI 1417244518
Emergency Medicine in Appleton, WI
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 and maintains a secondary practice location in Oshkosh.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
3Medicare enrollment records show Lauren Barlow reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Appleton, WI 54911
- Reassigned Medicare billing, Wisconsin enrollment
- 16 clinicians in this Medicare group
Chilton, WI 53014
- Reassigned Medicare billing, Wisconsin enrollment
- 140 clinicians in this Medicare group
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Emergency Medicine Specialists Sc
- 244 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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
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.
APPLETON, WI 54915
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.
Which organizations bill Medicare for Lauren Barlow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Barlow reassigns Medicare benefits to 3 organizations: Appleton Emergency Services S C (Appleton, WI), Ascension Calumet Hospital, Inc (Chilton, WI) and Emergency Medicine Specialists, S.C. (Milwaukee, WI). Each 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 Barlow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.