DR. LORI J SKIDMORE M.D.
NPI 1538129184
Family Medicine in Montpelier, IN

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment
77.83/100
CMS Quality Rating
121 E HIGH ST, MONTPELIER, IN 47359(765) 728-2421(765) 728-8564 Get Directions Write a Review

NPPES record last updated: January 20, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lori J Skidmore M.d. NPPES

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

DR. LORI J SKIDMORE M.D. (NPI 1538129184) is an individual family medicine provider in Montpelier, Indiana, licensed in Indiana (01037751) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Indiana University School Of Medicine (1988).

NPPES Registry Identity

NPI1538129184
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LORI J SKIDMORECredential: M.D.
Location Address121 E HIGH STMontpelier, IN 47359-1105
Mailing Address121 E High StMontpelier, IN 47359-1105 · (765) 728-2421 · Fax (765) 728-8564
Fax(765) 728-8564
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1988
Enumeration DateMarch 27, 2006
Last NPPES UpdateJanuary 20, 2010
NPI 1538129184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 01037751
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.
121 E HIGH ST, Montpelier, IN 47359

Other Identifiers 3

Medicare UPINE11154IN
Medicare ID-Type Unspecified070710BIN
Other000000179990IN · Blue Cross

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. Lori J Skidmore 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 ID6305030792
PECOS Enrollment IDI20101029000761
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 13

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
568 services161 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
314 services111 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
216 services133 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.
207 services121 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
149 services36 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.
111 services77 patients

Hospital Affiliations CMS Care Compare 4

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

Marion General Hospital

Acute Care Hospitals · Marion, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150011
Location441 N Wabash AveMarion, IN 46952 · Grant County
Emergency services Birthing friendly

Bluffton Regional Medical Center

Acute Care Hospitals · Bluffton, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150075
Location303 S Main StBluffton, IN 46714 · Wells County
Emergency services Birthing friendly

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Indiana University Health Jay, Inc.

Critical Access Hospitals · Portland, IN
OwnershipGovernment - Local
CMS Certification Number151320
Location500 W Votaw StPortland, IN 47371 · Jay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47359 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

77.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost26.1

Reported Quality Measures

Breast Cancer Screening
62%189 patients3/55-star benchmark: 93%
Colorectal Cancer Screening
63%435 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
93%388 patients5/55-star benchmark: 91%
Dementia: Cognitive Assessment
96%23 patients
Diabetes: Eye Exam
77%125 patients4/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
16%125 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%1,433 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
91%427 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
84%546 patients4/55-star benchmark: 97%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 6% · 441 patients
Patients totalRate: 18% · 441 patients
16%441 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 17

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
11 suppliers93 claims239 services$6.14 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers31 claims37 services$1.07 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers26 claims26 services$111.25 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers26 claims62 services$41.65 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
4 suppliers14 claims14 services$69.45 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers24 claims24 services$25.07 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 3

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

Family Medicine
121 E HIGH ST
MONTPELIER, IN 47359
Family Medicine
121 E HIGH ST
MONTPELIER, IN 47359
Nurse Practitioner (Family)
121 E HIGH ST
MONTPELIER, IN 47359

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 Lori Skidmore's NPI number?

The NPI number for Lori Skidmore is 1538129184. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Lori Skidmore located?

Lori Skidmore practices at 121 E High St, Montpelier, IN 47359. The listed phone number is (765) 728-2421.

What is Lori Skidmore's specialty?

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

Is Lori Skidmore enrolled in Medicare?

Yes. Lori Skidmore 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 Lori Skidmore accept?

Health plans from CareSource and UnitedHealthcare list Lori Skidmore 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 Lori Skidmore affiliated with any hospitals?

According to CMS data, Lori Skidmore is affiliated with Marion General Hospital, Bluffton Regional Medical Center, Indiana University Health Ball Memorial Hospital and Indiana University Health Jay, Inc..

When was this NPI record last updated?

The NPPES record for Lori Skidmore was last updated on January 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.