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MELANIE LAWRENCE O.D.
NPI 1437553336
Optometrist in Gardendale, AL

Active since October 21, 2014PECOS EnrolledAccepts Medicare Assignment
95.75/100
CMS Quality Rating
137 W SHUGART RIDGE RD, GARDENDALE, AL 35071(205) 631-5681(205) 631-2479 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 9, 2024, Dec 2, 2024, Nov 9, 2022 (3 updates tracked since 2022).

About Melanie Lawrence O.d. NPPES

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

MELANIE LAWRENCE O.D. (NPI 1437553336) is an individual optometrist in Gardendale, Alabama, licensed in Alabama (S-D30-TA-A06) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (2014).

NPPES Registry Identity

NPI1437553336
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMELANIE LAWRENCECredential: O.D.
Location Address137 W SHUGART RIDGE RDGardendale, AL 35071-2671
Mailing Address137 W Shugart Ridge RdGardendale, AL 35071-2671 · (205) 631-5681 · Fax (205) 631-2479
Phone(205) 631-5681
Fax(205) 631-2479
Sole ProprietorYes
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 2014
Enumeration DateOctober 21, 2014
Last NPPES UpdateDecember 9, 20243 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1437553336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AL · S-D30-TA-A06
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
137 W SHUGART RIDGE RD, Gardendale, AL 35071
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Melanie Lawrence O.d. 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 ID8022339860
PECOS Enrollment IDI20150605000858
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 9

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
202 services18 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.
85 services63 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
33 services29 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
22 services22 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
22 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35071 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

95.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability95
Improvement Activities40

Reported Quality Measures

e-Prescribing
100%201 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
97%628 patients4/55-star benchmark: 100%
Support Electronic Referral Loops By Sending Health Information
79%34 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

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

DR. CHRISTOPHER PEYTON YARBROUGH JR. O.D.
Optometrist
137 W SHUGART RIDGE RD
GARDENDALE, AL 35071
Jefferson County (205) 631-5681

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 Melanie Lawrence's NPI number?

The NPI number for Melanie Lawrence is 1437553336. It was assigned to this individual provider in the NPPES registry on October 21, 2014.

Where is Melanie Lawrence located?

Melanie Lawrence practices at 137 W Shugart Ridge Rd, Gardendale, AL 35071. The listed phone number is (205) 631-5681.

What is Melanie Lawrence's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Melanie Lawrence enrolled in Medicare?

Yes. Melanie Lawrence 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.

What insurance does Melanie Lawrence accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 4 other insurers list Melanie Lawrence 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 Melanie Lawrence was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.