BENJAMIN E LAWLER MD
NPI 1629188800
Psychiatry & Neurology - Neurology in Marshfield, WI
About Benjamin E Lawler Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN E LAWLER MD (NPI 1629188800) is an individual neurology provider in Marshfield, Wisconsin, licensed in Wisconsin (44544) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Rice Lake, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Benjamin E Lawler 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.
Medicare Billing Reassignments
6Medicare enrollment records show Benjamin Lawler reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- 2,540 clinicians in this Medicare group
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1952890873 (Wisconsin)
- 2,476 clinicians in this Medicare group
Neillsville, WI 54456
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1346239373 (Wisconsin)
- 1,283 clinicians in this Medicare group
Chetek, WI 54728
- Reassigned Medicare billing, Wisconsin enrollment
- 1,616 clinicians in this Medicare group
Park Falls, WI 54552
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1700963048 (Wisconsin)
- 1,351 clinicians in this Medicare group
Waupun, WI 53963
- Reassigned Medicare billing, Wisconsin enrollment
- 1,447 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Marshfield Medical Center - Rice Lake
Acute Care Hospitals · Rice Lake, WIMarshfield Medical Center
Acute Care Hospitals · Marshfield, WIMarshfield Medical Center - Weston
Acute Care Hospitals · Weston, WIMarshfield Medical Center - Eau Claire
Acute Care Hospitals · Eau Claire, WIMarshfield Medical Center - Minocqua
Acute Care Hospitals · Minocqua, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54449 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
MARSHFIELD, WI 54449
MARSHFIELD, WI 54449
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 Benjamin Lawler's NPI number?
The NPI number for Benjamin Lawler is 1629188800. It was assigned to this individual provider in the NPPES registry on August 30, 2006.
Where is Benjamin Lawler located?
Benjamin Lawler practices at 1000 N Oak Ave, Marshfield, WI 54449. The listed phone number is (715) 389-3133.
What is Benjamin Lawler's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Benjamin Lawler enrolled in Medicare?
Yes. Benjamin Lawler 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 Benjamin Lawler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Lawler reassigns Medicare benefits to 6 organizations: Marshfield Clinic Inc (Marshfield, WI), Mchs Hospitals Inc (Marshfield, WI), Memorial Hospital, Inc (Neillsville, WI), Lakeview Medical Center Inc Of Rice Lake (Chetek, WI), Flambeau Hospital Inc (Park Falls, WI) and 1 more organization, 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 Benjamin Lawler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Lawler accept?
Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Sanford Health Plan and Security Health Plan list Benjamin Lawler 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 Benjamin Lawler affiliated with any hospitals?
According to CMS data, Benjamin Lawler is affiliated with Marshfield Medical Center - Rice Lake, Marshfield Medical Center, Marshfield Medical Center - Weston, Marshfield Medical Center - Eau Claire and Marshfield Medical Center - Minocqua.
When was this NPI record last updated?
The NPPES record for Benjamin Lawler was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Benjamin E Lawler, MD · NPI 1629188800
Neurology physician in Marshfield, Wisconsin. Individual provider, active in the CMS NPPES registry since August 30, 2006.
## Identity
- **NPI:** 1629188800 (Entity type: Individual)
- **Enumerated:** August 30, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 44544 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 N OAK AVE, Marshfield, WI 54449
- **Phone:** (715) 389-3133
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Marshfield Clinic Inc (NPI 1952347981, Marshfield, WI); Mchs Hospitals Inc (NPI 1093221434, Marshfield, WI); Memorial Hospital, Inc (NPI 1679746747, Neillsville, WI); Lakeview Medical Center Inc Of Rice Lake (NPI 1659008605, Chetek, WI); Flambeau Hospital Inc (NPI 1194317966, Park Falls, WI); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 1996
## Record status
- **NPPES last updated:** March 30, 2023
- **Other identifiers:** Medicaid 34210800 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1629188800) · Data from the CMS NPPES public registry.