Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAUREN A PANKRATZ M.D.
NPI 1568675726
Pediatrics - Pediatric Endocrinology in San Antonio, TX

Active since May 07, 2007PECOS Enrolled
93.33/100
CMS Quality Rating
9043 HUEBNER RD STE 202, SAN ANTONIO, TX 78240(210) 614-8612(855) 265-3783 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 29, 2026, Jun 9, 2022, Feb 22, 2017 (3 updates tracked since 2017).

About Lauren A Pankratz M.d. NPPES

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

LAUREN A PANKRATZ M.D. (NPI 1568675726) is an individual pediatric endocrinology provider in San Antonio, Texas, licensed in Texas (N9108) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568675726
Entity TypeIndividualFemale
Primary Taxonomy2080P0205X
Provider Legal NameLAUREN A PANKRATZCredential: M.D.
Location Address9043 HUEBNER RD STE 202San Antonio, TX 78240-1820
Mailing Address9043 Huebner Rd Ste 202San Antonio, TX 78240-1820 · (210) 614-8612 · Fax (855) 265-3783
Fax(855) 265-3783
Sole ProprietorNo
Enumeration DateMay 7, 2007
Last NPPES UpdateOctober 29, 20263 updates tracked since enumeration
NPPES CertifiedOctober 29, 2026
✔ NPI 1568675726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License✔ Licensed in TX · N9108
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
9043 HUEBNER RD STE 202, San Antonio, TX 78240

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren A Pankratz M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Lauren Pankratz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Endocrinology, Diabetes & Metabolism
9043 HUEBNER RD STE 202
San Antonio, TX 78240
  • Reassigned Medicare billing, Texas enrollment
  • 26 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78240 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

93.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost72.21

Reported Quality Measures

Diabetes: Eye Exam
32%136 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
32%136 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%398 patients4/55-star benchmark: 100%
e-Prescribing
97%2,768 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
54%308 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
54%369 patients4/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
79%1,913 patients4/55-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.

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 (Family)
9043 HUEBNER RD STE 202
SAN ANTONIO, TX 78240
Nurse Practitioner (Family)
9043 HUEBNER RD STE 202
SAN ANTONIO, TX 78240
Nurse Practitioner (Family)
9043 HUEBNER RD STE 202
SAN ANTONIO, TX 78240
Pediatrics (Pediatric Endocrinology)
9043 HUEBNER RD STE 202
SAN ANTONIO, TX 78240
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9043 HUEBNER RD STE 202
SAN ANTONIO, TX 78240
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9043 HUEBNER RD STE 202
SAN ANTONIO, TX 78240
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9043 HUEBNER RD STE 202
SAN ANTONIO, TX 78240
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9043 HUEBNER RD STE 202
SAN ANTONIO, TX 78240

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 Pankratz's NPI number?

The NPI number for Lauren Pankratz is 1568675726. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Lauren Pankratz located?

Lauren Pankratz practices at 9043 Huebner Rd Ste 202, San Antonio, TX 78240. The listed phone number is (210) 614-8612.

What is Lauren Pankratz's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Lauren Pankratz enrolled in Medicare?

Yes. Lauren Pankratz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lauren Pankratz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Pankratz reassigns Medicare benefits to Diabetes And Glandular Disease Clinic PA (San Antonio, TX). The 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 Pankratz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Pankratz accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Lauren Pankratz 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 Lauren Pankratz was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.