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DR. HILLARY SETH LAWRENCE M.D.
NPI 1528097904
Dermatology - Pediatric Dermatology in Edmond, OK

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
1354 E 15TH ST, EDMOND, OK 73013(405) 285-8823(405) 285-8824 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2024, Oct 10, 2016 (2 updates tracked since 2016).

About Dr. Hillary Seth Lawrence M.d. NPPES

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

DR. HILLARY SETH LAWRENCE M.D. (NPI 1528097904) is an individual pediatric dermatology provider in Edmond, Oklahoma, licensed in Missouri (2008029017) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (2004).

NPPES Registry Identity

NPI1528097904
Entity TypeIndividualFemale
Primary Taxonomy207NP0225X
Provider Legal NameDR. HILLARY SETH LAWRENCECredential: M.D.
Location Address1354 E 15TH STEdmond, OK 73013-5029
Mailing Address1354 E 15th StEdmond, OK 73013-5029 · (405) 285-8823 · Fax (405) 285-8824
Phone(405) 285-8823
Fax(405) 285-8824
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2004
Enumeration DateJune 30, 2006
Last NPPES UpdateApril 5, 20242 updates tracked since enumeration
NPPES CertifiedApril 5, 2024
✔ NPI 1528097904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatology · Pediatric DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NP0225X
License✔ Licensed in MO · 2008029017
Definition
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
Also ListedDermatologyTaxonomy 207N00000X · License 2008029017 (MO)
Also ListedInternal MedicineTaxonomy 207R00000X · License 2008029017 (MO)
Also ListedPediatricsTaxonomy 208000000X · License 2008029017 (MO)
1354 E 15TH ST, Edmond, OK 73013
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health 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

Dr. Hillary Seth Lawrence 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 ID6204080690
PECOS Enrollment IDI20131021001487
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 10

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
527 services109 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.
364 services257 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
191 services143 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
136 services110 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
103 services88 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.
42 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73013 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

Other Providers at the Same Location NPPES 3

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

WHITNEY T MASHBURN PA-C
Physician Assistant
1354 E 15TH ST
EDMOND, OK 73013
Oklahoma County (405) 285-8823
THUNDER HEALTH & URGENT CARE PLLC
Clinic/Center (Urgent Care)
1354 E 15TH ST
EDMOND, OK 73013
Oklahoma County (405) 861-0224
MS. PRANATHI LINGAM M.D.
Dermatology
1354 E 15TH ST
EDMOND, OK 73013
Oklahoma County (405) 285-8823

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 Hillary Lawrence's NPI number?

The NPI number for Hillary Lawrence is 1528097904. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Hillary Lawrence located?

Hillary Lawrence practices at 1354 E 15th St, Edmond, OK 73013. The listed phone number is (405) 285-8823.

What is Hillary Lawrence's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Pediatric Dermatology, with taxonomy code 207NP0225X.

Is Hillary Lawrence enrolled in Medicare?

Yes. Hillary 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 Hillary Lawrence accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health, Oscar Insurance Company and UnitedHealthcare list Hillary 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 Hillary Lawrence was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.