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TIANNA MARIA LAWTON MD
NPI 1609455021
Emergency Medicine in Crittenden, KY

Active since April 04, 2021PECOS EnrolledAccepts Medicare Assignment
405 VIOLET RD, CRITTENDEN, KY 41030(859) 903-0268(859) 428-1444 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tianna Maria Lawton Md NPPES

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

TIANNA MARIA LAWTON MD (NPI 1609455021) is an individual emergency medicine provider in Crittenden, Kentucky, licensed in Kentucky (59642) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2021).

NPPES Registry Identity

NPI1609455021
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameTIANNA MARIA LAWTONCredential: MD
Location Address405 VIOLET RDCrittenden, KY 41030-8956
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 903-0268 · Fax (859) 428-1444
Phone(859) 903-0268
Fax(859) 428-1444
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2021
Enumeration DateApril 4, 2021
Last NPPES UpdateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1609455021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in KY · 59642
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.
405 VIOLET RD, Crittenden, KY 41030
Open in Google Maps ↗

Other Names 1

Former Name (1)Tianna Maria Negron Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Tianna Maria Lawton 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 ID2365844768
PECOS Enrollment IDI20250811003501
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 Tianna Lawton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Group, Inc
18 mi
Psychiatry
1360 DOLWICK DRIVE
Erlanger, KY 41018
  • Reassigned Medicare billing, Kentucky enrollment
  • 946 clinicians in this Medicare group
NPI 1508287640 (859) 344-5555

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

Hospital Affiliations CMS Care Compare

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41030 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 13

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

DR. VIRAL PATEL D.O.
Family Medicine
405 VIOLET RD
CRITTENDEN, KY 41030
Grant County (859) 428-1610
AVERY JEA MARTIN
Nurse Practitioner
405 VIOLET RD
CRITTENDEN, KY 41030
Grant County (859) 428-1610
RACHEL L STUCK FNP
Nurse Practitioner
405 VIOLET RD
CRITTENDEN, KY 41030
Grant County (859) 428-1610
MRS. SUZANNE MICHELLE FERNBACH PA-C
Physician Assistant
405 VIOLET RD
CRITTENDEN, KY 41030
Grant County (859) 903-0268
SETH CHRISTIAN CARMICHAEL DO
Family Medicine
405 VIOLET RD
CRITTENDEN, KY 41030
Grant County (859) 428-1610
DR. KATHIE E MORGAN MD
Family Medicine
405 VIOLET RD
CRITTENDEN, KY 41030
Grant County (859) 428-1610
LISA AREHART APRN
Nurse Practitioner
405 VIOLET RD
CRITTENDEN, KY 41030
Grant County (859) 428-1610
WILLIAM TRAVIS YOUNG ARNP, FNP-C
Nurse Practitioner
405 VIOLET RD
CRITTENDEN, KY 41030
Grant County (859) 903-0268

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 Tianna Lawton's NPI number?

The NPI number for Tianna Lawton is 1609455021. It was assigned to this individual provider in the NPPES registry on April 4, 2021. The provider is also known as Tianna Maria Negron MD.

Where is Tianna Lawton located?

Tianna Lawton practices at 405 Violet Rd, Crittenden, KY 41030. The listed phone number is (859) 903-0268.

What is Tianna Lawton's specialty?

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

Is Tianna Lawton enrolled in Medicare?

Yes. Tianna Lawton 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 organization bills Medicare for Tianna Lawton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tianna Lawton reassigns Medicare benefits to Summit Medical Group, Inc (Erlanger, KY). 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 Tianna Lawton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tianna Lawton accept?

Health plans from CareSource list Tianna Lawton 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 Tianna Lawton affiliated with any hospitals?

According to CMS data, Tianna Lawton is affiliated with St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Tianna Lawton was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.