ERICA LAWLOR PA-C
NPI 1417319724
Physician Assistant in Ithaca, NY

Active since March 25, 2016PECOS EnrolledAccepts Medicare Assignment
95.21/100
CMS Quality Rating
16 BRENTWOOD DR, SUITE A, ITHACA, NY 14850(607) 269-0033 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: May 1, 2019, Mar 25, 2016 (2 updates tracked since 2016).

About Erica Lawlor Pa-c NPPES

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

ERICA LAWLOR PA-C (NPI 1417319724) is an individual physician assistant in Ithaca, New York, licensed in New York (019374) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Arnot Ogden Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1417319724
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameERICA LAWLORCredential: PA-C
Location Address16 BRENTWOOD DR, SUITE AIthaca, NY 14850-1863
Mailing Address84 Canal StBig Flats, NY 14814-8968
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 25, 2016
Last NPPES UpdateJune 29, 20232 updates tracked since enumeration
NPI 1417319724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 019374
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedNeurological SurgeryTaxonomy 207T00000X · License 19374 (NY)
16 BRENTWOOD DR, Ithaca, NY 14850

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

Erica Lawlor Pa-c 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 ID4385936087
PECOS Enrollment IDI20160715000808
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 3

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Arnot Ogden Medical Center

Acute Care Hospitals · Elmira, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330090
Location600 Roe AvenueElmira, NY 14905 · Chemung County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14850 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

95.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.69
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
79%101 patients4/55-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 18

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

Internal Medicine
16 BRENTWOOD DR
ITHACA, NY 14850
Physician Assistant
16 BRENTWOOD DR, SUITE A
ITHACA, NY 14850
Preventive Medicine (Occupational Medicine)
16 BRENTWOOD DR
ITHACA, NY 14850
Neurological Surgery
16 BRENTWOOD DR
ITHACA, NY 14850
Physician Assistant
16 BRENTWOOD DR
ITHACA, NY 14850
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
16 BRENTWOOD DR, SUITE A
ITHACA, NY 14850
Internal Medicine
16 BRENTWOOD DR
ITHACA, NY 14850
Internal Medicine (Infectious Disease)
16 BRENTWOOD DR
ITHACA, NY 14850

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 Erica Lawlor's NPI number?

The NPI number for Erica Lawlor is 1417319724. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Where is Erica Lawlor located?

Erica Lawlor practices at 16 Brentwood Dr Suite A, Ithaca, NY 14850. The listed phone number is (607) 269-0033.

What is Erica Lawlor's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Erica Lawlor enrolled in Medicare?

Yes. Erica Lawlor 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 Erica Lawlor affiliated with any hospitals?

According to CMS data, Erica Lawlor is affiliated with Arnot Ogden Medical Center.

When was this NPI record last updated?

The NPPES record for Erica Lawlor 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.