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ERIN LAWLOR DO
NPI 1437610854
Internal Medicine in New Britain, CT

Active since March 28, 2019PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
100 GRAND ST, NEW BRITAIN, CT 06052(860) 224-5261 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Erin Lawlor Do NPPES

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

ERIN LAWLOR DO (NPI 1437610854) is an individual internal medicine provider in New Britain, Connecticut, licensed in Connecticut (71463) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Rowan University School Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1437610854
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameERIN LAWLORCredential: DO
Location Address100 GRAND STNew Britain, CT 06052-2016
Mailing Address263 Farmington AveFarmington, CT 06030-1921 · (860) 679-2147 · Fax (860) 679-4624
Phone(860) 224-5261
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2019
Enumeration DateMarch 28, 2019
Last NPPES UpdateOctober 11, 2022
NPPES CertifiedOctober 11, 2022
✔ NPI 1437610854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 71463
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
100 GRAND ST, New Britain, CT 06052
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erin Lawlor Do 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 ID4688904006
PECOS Enrollment IDI20221103001828
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Erin Lawlor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hartford Healthcare Medical Group, Inc
7.1 mi
Surgery
1290 SILAS DEANE HWY, ATTN: LINDA STRAKA
Wethersfield, CT 06109
  • Reassigned Medicare billing, Connecticut enrollment
  • 747 clinicians in this Medicare group
NPI 1043561301 (860) 972-9033
Midstate Medical Center
7.7 mi
General Acute Care Hospital
435 LEWIS AVE
Meriden, CT 06451
  • Reassigned Medicare billing, Connecticut enrollment
  • 505 clinicians in this Medicare group
NPI 1154425288 (860) 696-6287

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.

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.
86 services70 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 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
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06052 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.37
Promoting Interoperability100
Improvement Activities40
Cost56.52

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.

MISS NIRMALA BHATT MD
Internal Medicine
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5011
MUHAMMAD YASIR ANWAR MBBS
Hospitalist
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5011
DR. ALEXANDER VDOVENKO M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5584
MS. KORTNEY ROSE RIBBECK PA-C
Physician Assistant (Medical)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5011
SHEILA SANTHAPPA M.D.
Psychiatry & Neurology (Neurology)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (608) 224-5305
MS. ELLEN ROSENBERG LMSW
Social Worker (Clinical)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5285
DR. LOUIS GRAFF IV M.D.
Emergency Medicine
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 224-5774
WANDA M KIREJCZYK MD
Radiology (Diagnostic Radiology)
100 GRAND ST
NEW BRITAIN, CT 06052
Capitol Planning Region (860) 225-5556

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 Erin Lawlor's NPI number?

The NPI number for Erin Lawlor is 1437610854. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Erin Lawlor located?

Erin Lawlor practices at 100 Grand St, New Britain, CT 06052. The listed phone number is (860) 224-5261.

What is Erin Lawlor's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Erin Lawlor enrolled in Medicare?

Yes. Erin 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.

Which organizations bill Medicare for Erin Lawlor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erin Lawlor reassigns Medicare benefits to 2 organizations: Hartford Healthcare Medical Group, Inc (Wethersfield, CT) and Midstate Medical Center (Meriden, CT). 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 Erin Lawlor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Erin Lawlor was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.