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DR. LAUREN LACIVITA D.O.
NPI 1558620807
Emergency Medicine in Wilton, CT

Active since May 08, 2012PECOS EnrolledAccepts Medicare Assignment
76.52/100
CMS Quality Rating
30 DANBURY RD, WILTON, CT 06897(203) 563-3500 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2024, Aug 8, 2024, Mar 6, 2019 (3 updates tracked since 2019).

About Dr. Lauren Lacivita D.o. NPPES

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

DR. LAUREN LACIVITA D.O. (NPI 1558620807) is an individual emergency medicine provider in Wilton, Connecticut, licensed in Connecticut (55839) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (2012).

NPPES Registry Identity

NPI1558620807
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. LAUREN LACIVITACredential: D.O.
Location Address30 DANBURY RDWilton, CT 06897-4457
Mailing Address1290 Silas Deane Highway, Hhc - CvoWethersfield, CT 06109-4337
Phone(203) 563-3500
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2012
Enumeration DateMay 8, 2012
Last NPPES UpdateDecember 17, 20243 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1558620807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in CT · 55839✔ Licensed in MI · 5101019742✔ Licensed in NY · 282994
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
30 DANBURY RD, Wilton, CT 06897
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lauren Lacivita D.o. 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 ID4385931583
PECOS Enrollment IDI20160930001378, I20161125000024
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Lauren Lacivita reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Vincents Urgent Care LLC
8.8 mi
Urgent Care
1055 POST RD
Fairfield, CT 06824
  • Reassigned Medicare billing, Connecticut enrollment
  • 54 clinicians in this Medicare group
NPI 1912305483 (203) 259-3440
Emergency Medicine Physicians Of Fairfield County, LLC
10 mi
Emergency Medicine
30 SHELBURNE RD
Stamford, CT 06902
  • Reassigned Medicare billing, Connecticut enrollment
  • 63 clinicians in this Medicare group
NPI 1689614109 (330) 493-4443
John T. Mather Memorial Hospital
24 mi
Emergency Medicine
75 N COUNTRY RD
Port Jefferson, NY 11777
  • Reassigned Medicare billing, New York enrollment
  • 232 clinicians in this Medicare group
NPI 1104913748 (631) 473-1320
North Shore-Lij Medical PC
30 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400
Malina Medical Services PC
39 mi
Emergency Medicine
7 W 96TH ST APT 1H
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 36 clinicians in this Medicare group
NPI 1932899192 (201) 483-3760
Emergency Medicine Physicians Of New Haven County,llc
42 mi
Emergency Medicine
435 LEWIS AVE
Meriden, CT 06451
  • Reassigned Medicare billing, Connecticut enrollment
  • 69 clinicians in this Medicare group
NPI 1083910962 (203) 694-8200
Tampa Bay Emergency Physicians-Heartland LLC
1,049 mi
Emergency Medicine
4200 SUN N LAKE BLVD
Sebring, FL 33872
  • Reassigned Medicare billing, Florida enrollment
  • 318 clinicians in this Medicare group
NPI 1043661408 (330) 493-4443

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.
124 services121 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
49 services49 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
39 services38 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.
26 services26 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
20 services20 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06897 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
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.

76.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.02
Promoting Interoperability100
Improvement Activities40
Cost57.73

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 Lacivita's NPI number?

The NPI number for Lauren Lacivita is 1558620807. It was assigned to this individual provider in the NPPES registry on May 8, 2012.

Where is Lauren Lacivita located?

Lauren Lacivita practices at 30 Danbury Rd, Wilton, CT 06897. The listed phone number is (203) 563-3500.

What is Lauren Lacivita's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Lauren Lacivita enrolled in Medicare?

Yes. Lauren Lacivita 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.

Which organizations bill Medicare for Lauren Lacivita's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Lacivita reassigns Medicare benefits to 7 organizations: St. Vincents Urgent Care LLC (Fairfield, CT), Emergency Medicine Physicians Of Fairfield County, LLC (Stamford, CT), John T. Mather Memorial Hospital (Port Jefferson, NY), North Shore-Lij Medical PC (Great Neck, NY), Malina Medical Services PC (New York, NY) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lauren Lacivita's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lauren Lacivita was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.