LAUREN BURRIS MCDONALD FNP-C
NPI 1538894068
Nurse Practitioner - Family in Pinehurst, NC

Active since July 19, 2022PECOS EnrolledAccepts Medicare Assignment
99.15/100
CMS Quality Rating
35 MEMORIAL DR, PINEHURST, NC 28374(910) 715-1794(910) 715-1733 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2022, Jul 19, 2022 (2 updates tracked since 2022).

About Lauren Burris Mcdonald Fnp-c NPPES

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

LAUREN BURRIS MCDONALD FNP-C (NPI 1538894068) is an individual family provider in Pinehurst, North Carolina, licensed in North Carolina (5016549) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Firsthealth Moore Regional Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1538894068
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAUREN BURRIS MCDONALDCredential: FNP-C
Location Address35 MEMORIAL DRPinehurst, NC 28374-8708
Mailing Address204 Mcneill RdSouthern Pines, NC 28387-7351 · (910) 206-6256
Fax(910) 715-1733
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 19, 2022
Last NPPES UpdateJuly 25, 20222 updates tracked since enumeration
NPPES CertifiedJuly 19, 2022
NPI 1538894068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5016549
35 MEMORIAL DR, Pinehurst, NC 28374

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

Lauren Burris Mcdonald Fnp-c 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 ID5395129977
PECOS Enrollment IDI20220831000926
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.

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.
343 services173 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
63 services63 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.
40 services16 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.
32 services29 patients
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.
29 services12 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.
28 services11 patients

Hospital Affiliations CMS Care Compare

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

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28374 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.5
Promoting Interoperability92
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Adult Health)
35 MEMORIAL DR
PINEHURST, NC 28374
Psychiatry & Neurology (Addiction Medicine)
35 MEMORIAL DR
PINEHURST, NC 28374
Emergency Medicine (Undersea and Hyperbaric Medicine)
35 MEMORIAL DR
PINEHURST, NC 28374
Thoracic Surgery (Cardiothoracic Vascular Surgery)
35 MEMORIAL DR
PINEHURST, NC 28374
Social Worker (Clinical)
35 MEMORIAL DR
PINEHURST, NC 28374
Emergency Medicine (Undersea and Hyperbaric Medicine)
35 MEMORIAL DR
PINEHURST, NC 28374
Physician Assistant (Medical)
35 MEMORIAL DR
PINEHURST, NC 28374
Nurse Practitioner (Psychiatric/Mental Health)
35 MEMORIAL DR
PINEHURST, NC 28374

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 Mcdonald's NPI number?

The NPI number for Lauren Mcdonald is 1538894068. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Where is Lauren Mcdonald located?

Lauren Mcdonald practices at 35 Memorial Dr, Pinehurst, NC 28374. The listed phone number is (910) 715-1794.

What is Lauren Mcdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lauren Mcdonald enrolled in Medicare?

Yes. Lauren Mcdonald 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 Lauren Mcdonald accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Lauren Mcdonald 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 Lauren Mcdonald affiliated with any hospitals?

According to CMS data, Lauren Mcdonald is affiliated with Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for Lauren Mcdonald was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.