DR. MARIA BELEN LAWLESS M.D.
NPI 1457888646
Psychiatry & Neurology - Neurology in Mattoon, IL

Active since May 18, 2017PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1000 HEALTH CENTER DR STE 107, MATTOON, IL 61938(217) 258-4096(217) 238-5485 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2026, Apr 2, 2025, Apr 25, 2022 and 1 more (4 updates tracked since 2017).

About Dr. Maria Belen Lawless M.d. NPPES

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

DR. MARIA BELEN LAWLESS M.D. (NPI 1457888646) is an individual neurology provider in Mattoon, Illinois, licensed in Illinois (036.172700) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457888646
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. MARIA BELEN LAWLESSCredential: M.D.
Location Address1000 HEALTH CENTER DR STE 107Mattoon, IL 61938
Mailing AddressPo Box 372Mattoon, IL 61938-0372
Fax(217) 238-5485
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2017
Enumeration DateMay 18, 2017
Last NPPES UpdateApril 22, 20264 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
NPI 1457888646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in IL · 036.172700 Licensed in IN · 01087509A
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1000 HEALTH CENTER DR STE 107, Mattoon, IL 61938

Secondary Practice Locations 2

Location 11104 W Evergreen AveEffingham, IL 62401-1710 · Phone (217) 258-4096 · Fax (217) 238-5485
Location 2650 W Taylor StVandalia, IL 62471-1227 · Phone (618) 283-1231 · Fax (618) 283-1617

Accepted 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

Dr. Maria Belen Lawless M.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 ID2365716131
PECOS Enrollment IDI20250424000981
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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
82 services76 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
61 services42 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.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61938 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Family)
1000 HEALTH CENTER DR STE 107
MATTOON, IL 61938
Nurse Practitioner (Adult Health)
1000 HEALTH CENTER DR STE 107
MATTOON, IL 61938
Nurse Practitioner (Family)
1000 HEALTH CENTER DR STE 107
MATTOON, IL 61938
Nurse Practitioner (Family)
1000 HEALTH CENTER DR STE 107
MATTOON, IL 61938
Psychiatry & Neurology (Neurology)
1000 HEALTH CENTER DR STE 107
MATTOON, IL 61938
Nurse Practitioner (Family)
1000 HEALTH CENTER DR STE 107
MATTOON, IL 61938
Physician Assistant
1000 HEALTH CENTER DR STE 107
MATTOON, IL 61938
Physician Assistant
1000 HEALTH CENTER DR STE 107
MATTOON, IL 61938

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 Maria Lawless's NPI number?

The NPI number for Maria Lawless is 1457888646. It was assigned to this individual provider in the NPPES registry on May 18, 2017.

Where is Maria Lawless located?

Maria Lawless practices at 1000 Health Center Dr Ste 107, Mattoon, IL 61938. The listed phone number is (217) 258-4096.

What is Maria Lawless's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Maria Lawless enrolled in Medicare?

Yes. Maria Lawless 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 Maria Lawless accept?

Health plans from CareSource list Maria Lawless 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.

Is Maria Lawless affiliated with any hospitals?

According to CMS data, Maria Lawless is affiliated with St Anthonys Memorial Hospital and Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Maria Lawless was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.