DR. LAUREN ALLISON TOBIAS M.D.
NPI 1497939680
Internal Medicine in New Haven, CT

Active since December 24, 2007PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
300 CEDAR ST # S-425, PULM/CRITICAL CARE/SLEEP, YALE U. SCHOOL OF MEDICINE, NEW HAVEN, CT 06519(203) 688-2259(203) 688-5599 Get Directions Write a Review

NPPES record last updated: September 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lauren Allison Tobias M.d. NPPES

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

DR. LAUREN ALLISON TOBIAS M.D. (NPI 1497939680) is an individual internal medicine provider in New Haven, Connecticut, licensed in Connecticut (48906) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2007).

NPPES Registry Identity

NPI1497939680
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. LAUREN ALLISON TOBIASCredential: M.D.
Location Address300 CEDAR ST # S-425, PULM/CRITICAL CARE/SLEEP, YALE U. SCHOOL OF MEDICINENew Haven, CT 06519-1612
Mailing Address300 Cedar Street, Po Box 208057, Yale Sch Of Medicine, Section Of Pulmonary, Critical Care, And Sleep MedicineNew Haven, CT 06510 · (203) 287-3550 · Fax (203) 287-3551
Fax(203) 688-5599
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2007
Enumeration DateDecember 24, 2007
Last NPPES UpdateSeptember 22, 2015
NPI 1497939680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CT · 48906
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 ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 048906 (CT)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 048906 (CT)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 048906 (CT)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License LICENSE PENDING
300 CEDAR ST # S-425, New Haven, CT 06519

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. Lauren Allison Tobias 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 ID1759406861
PECOS Enrollment IDI20100913001113
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 6

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
75 services27 patients
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.
48 services44 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
28 services28 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
15 services15 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.
12 services12 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06519 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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

Referred Medical Equipment & Supplies CMS DME claims 12

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers48 claims49 services$32.87 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers42 claims43 services$75.32 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers32 claims85 services$30.21 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers18 claims100 services$15.54 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers27 claims27 services$47.59 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers44 claims44 services$15.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Lauren Tobias's NPI number?

The NPI number for Lauren Tobias is 1497939680. It was assigned to this individual provider in the NPPES registry on December 24, 2007.

Where is Lauren Tobias located?

Lauren Tobias practices at 300 Cedar St # S-425 Pulm/Critical Care/Sleep, Yale U. School Of Medicine, New Haven, CT 06519. The listed phone number is (203) 688-2259.

What is Lauren Tobias's specialty?

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

Is Lauren Tobias enrolled in Medicare?

Yes. Lauren Tobias 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.

When was this NPI record last updated?

The NPPES record for Lauren Tobias was last updated on September 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.