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TONI L LAUFFER DO
NPI 1497766786
Family Medicine in Hampton, IA

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1720 CENTRAL AVENUE EAST, HAMPTON, IA 50441(641) 456-5050(641) 456-5060 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Toni L Lauffer Do NPPES

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

TONI L LAUFFER DO (NPI 1497766786) is an individual family medicine provider in Hampton, Iowa, licensed in Iowa (3724) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Mercyone North Iowa Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1497766786
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTONI L LAUFFERCredential: DO
Location Address1720 CENTRAL AVENUE EASTHampton, IA 50441
Mailing Address1720 Central Avenue EastHampton, IA 50441 · (641) 456-5050 · Fax (641) 456-5060
Phone(641) 456-5050
Fax(641) 456-5060
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 11, 2006
Last NPPES UpdateSeptember 1, 2020
NPPES CertifiedSeptember 1, 2020
✔ NPI 1497766786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · 3724
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1720 CENTRAL AVENUE EAST, Hampton, IA 50441
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Other Identifiers 3

OtherB007IA · Tricare
Medicaid1497766786IA
Other1497766786Wellmark

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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

Toni L Lauffer 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 ID749289221
PECOS Enrollment IDI20061211000289
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
56 services32 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
35 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Mercyone North Iowa Medical Center

Acute Care Hospitals · Mason City, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160064
Location1000 Fourth Street SWMason City, IA 50401 · Cerro Gordo County
Emergency services Birthing friendly

Franklin General Hospital

Critical Access Hospitals · Hampton, IA
OwnershipGovernment - Local
CMS Certification Number161308
Location1720 Central Avenue EastHampton, IA 50441 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50441 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers67 claims147 services$6.15 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers31 claims32 services$1.06 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
3 suppliers11 claims260 services$5.98 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers15 claims15 services$43.08 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers16 claims16 services$104.75 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers12 claims55 services$25.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

ERIN R MURPHY PA
Physician Assistant
1720 CENTRAL AVENUE EAST
HAMPTON, IA 50441
Franklin County (641) 456-5050
DAPHNE K LANDERS ARNP
Nurse Practitioner (Family)
1720 CENTRAL AVENUE EAST
HAMPTON, IA 50441
Franklin County (641) 456-5050

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 Toni Lauffer's NPI number?

The NPI number for Toni Lauffer is 1497766786. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Toni Lauffer located?

Toni Lauffer practices at 1720 Central Avenue East, Hampton, IA 50441. The listed phone number is (641) 456-5050.

What is Toni Lauffer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Toni Lauffer enrolled in Medicare?

Yes. Toni Lauffer 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 Toni Lauffer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Toni Lauffer 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 Toni Lauffer affiliated with any hospitals?

According to CMS data, Toni Lauffer is affiliated with Mercyone North Iowa Medical Center and Franklin General Hospital.

When was this NPI record last updated?

The NPPES record for Toni Lauffer was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.