LAURA M DUNNE MD
NPI 1568454890
Family Medicine - Sports Medicine in Allentown, PA

Active since August 23, 2005PECOS EnrolledAccepts Medicare Assignment
84.72/100
CMS Quality Rating
250 CETRONIA ROAD, SUITE 303, ALLENTOWN, PA 18104(610) 973-6200(610) 973-6546 Get Directions Write a Review

NPPES record last updated: January 16, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Laura M Dunne Md NPPES

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

LAURA M DUNNE MD (NPI 1568454890) is an individual sports medicine provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD422473) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Saint Louis University School Of Medicine (1999).

NPPES Registry Identity

NPI1568454890
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameLAURA M DUNNECredential: MD
Location Address250 CETRONIA ROAD, SUITE 303Allentown, PA 18104-9168
Mailing AddressPo Box 848269Boston, MA 02284-8269 · (610) 973-1700 · Fax (610) 973-1778
Fax(610) 973-6546
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1999
Enumeration DateAugust 23, 2005
Last NPPES UpdateJanuary 16, 2014
NPI 1568454890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in PA · MD422473
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD422473 (PA)
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License MD422473 (PA)
250 CETRONIA ROAD, Allentown, PA 18104

Other Identifiers 13

Other50022903PA · Blue Cross
Other1523336PA · Blue Shield
Other1523336PA · Keystone Central
Other7715508PA · Aetna
Medicaid0019697600004PA
Medicare UPINH93688PA
Medicare PIN073100PA
Other2209695000PA · Keystone East
Other2500940PA · Cigna
Other82235PA · Geisinger
OtherP3157991PA · Oxford
Other1523336PA · Amerihealth Admin
OtherP00237089PA · Railroad Medicare

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

Laura M Dunne Md 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 ID3971585159
PECOS Enrollment IDI20040602000664
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 17

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
14,282 services120 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,927 services218 patients
Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg J7331
Hyaluronan, or Synojoynt, is a substance injected into your joint to help lubricate and cushion it. This can help relieve joint pain and improve mobility, particularly for conditions like arthritis. Each injection contains 1 mg of the substance.
1,340 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.
827 services390 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
739 services306 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.
514 services341 patients

Hospital Affiliations CMS Care Compare 3

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

84.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.98
Promoting Interoperability100
Improvement Activities40
Cost66.08

Reported Quality Measures

Advance Care Plan
96%812 patients4/55-star benchmark: 100%
Breast Cancer Screening
73%712 patients4/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
58%428 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
81%52 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
96%26 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%3,763 patients4/55-star benchmark: 100%
e-Prescribing
98%141 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
91%783 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
56%1,696 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
22%3,556 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 94% · 1,287 patients
Patients screened: 95% · 1,287 patients
70%47 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
95%734 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%61 patients4/55-star benchmark: 91%
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

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

Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
3 suppliers18 claims19 services$114.81 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 20

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

Physical Therapist
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104
Physical Therapist
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104
Physician Assistant
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104
Physician Assistant
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104
Physician Assistant
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104
Orthopaedic Surgery (Sports Medicine)
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104
Anesthesiology (Pain Medicine)
250 CETRONIA ROAD
ALLENTOWN, PA 18104
Occupational Therapist (Hand)
250 CETRONIA ROAD, SUITE 303
ALLENTOWN, PA 18104

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 Laura Dunne's NPI number?

The NPI number for Laura Dunne is 1568454890. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Laura Dunne located?

Laura Dunne practices at 250 Cetronia Road Suite 303, Allentown, PA 18104. The listed phone number is (610) 973-6200.

What is Laura Dunne's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Laura Dunne enrolled in Medicare?

Yes. Laura Dunne 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 Laura Dunne accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Laura Dunne 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 Laura Dunne affiliated with any hospitals?

According to CMS data, Laura Dunne is affiliated with St Luke's Hospital Bethlehem, Lehigh Valley Hospital and Lehigh Valley Hospital - Pocono.

When was this NPI record last updated?

The NPPES record for Laura Dunne was last updated on January 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.