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DR. MICHAEL PATRICK LAWLER MD
NPI 1629203708
Internal Medicine in Marion, IL

Active since May 19, 2009PECOS EnrolledAccepts Medicare Assignment
76.53/100
CMS Quality Rating
1129 N CARBON ST, MARION, IL 62959(618) 993-1111 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Patrick Lawler Md NPPES

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

DR. MICHAEL PATRICK LAWLER MD (NPI 1629203708) is an individual internal medicine provider in Marion, Illinois, licensed in Illinois (036123376) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2006).

NPPES Registry Identity

NPI1629203708
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHAEL PATRICK LAWLERCredential: MD
Location Address1129 N CARBON STMarion, IL 62959-1068
Mailing Address1129 N Carbon StMarion, IL 62959-1068 · (618) 993-1111
Phone(618) 993-1111
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2006
Enumeration DateMay 19, 2009
Last NPPES UpdateNovember 15, 2011
✔ NPI 1629203708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036123376
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1129 N CARBON ST, Marion, IL 62959
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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

Dr. Michael Patrick 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.

PECOS PAC ID2466508601
PECOS Enrollment IDI20090914000288
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 7

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 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.
1,319 services273 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
542 services43 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
409 services47 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
251 services33 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.
23 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140184
Location3333 W DeyoungMarion, IL 62959 · Williamson County
Emergency services

Harrisburg Medical Center

Acute Care Hospitals · Harrisburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140210
Location100 Doctor Warren Tuttle DrHarrisburg, IL 62946 · Saline County
Emergency services

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62959 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

76.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.75
Promoting Interoperability71
Improvement Activities40
Cost57.19

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
78%100 patients1/55-star benchmark: 100%
Advance Care Plan
50%444 patients3/55-star benchmark: 100%
Breast Cancer Screening
66%164 patients3/55-star benchmark: 93%
Cervical Cancer Screening
42%106 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
42%322 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
75%432 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
72%411 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
45%174 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
33%174 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
88%3,381 patients4/55-star benchmark: 100%
e-Prescribing
99%2,057 patients4/55-star benchmark: 100%
HIV Screening
4%331 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
22%710 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
22%370 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 71% · 692 patients
Patients screened: 79% · 692 patients
29%80 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
46%455 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
78%505 patients4/55-star benchmark: 91%
Support Electronic Referral Loops By Sending Health Information
35%135 patients2/55-star benchmark: 97%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 4% · 404 patients
Patients totalRate: 14% · 450 patients
15%450 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims 14

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers66 claims167 services$5.96 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers27 claims38 services$1.05 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers12 claims12 services$90.59 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers12 claims31 services$35.99 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers11 claims11 services$20.20 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers21 claims21 services$17.51 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 6

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

DR. JAMES T. LAWLER M.D. S.C.
Internal Medicine
1129 N CARBON ST
MARION, IL 62959
Williamson County (618) 993-0002
DR. ELIZABETH ELLEN LAWLER M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1129 N CARBON ST
MARION, IL 62959
Williamson County (618) 998-0123
DR. ELIZABETH LAWLER, M.D., S.C.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1129 N CARBON ST
MARION, IL 62959
Williamson County (618) 967-7889
COLLEEN M LAWLER-BJORNBERG MD
Internal Medicine
1129 N CARBON ST
MARION, IL 62959
Williamson County (618) 993-0002
DR. JAMES T LAWLER M.D.
Internal Medicine
1129 N CARBON ST, STE 2
MARION, IL 62959
Williamson County (618) 518-7700
JUSTIN SETTLE, D.M.D., P.C.
Dentist
1129 N CARBON ST
MARION, IL 62959
Williamson County (618) 997-6405

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 Michael Lawler's NPI number?

The NPI number for Michael Lawler is 1629203708. It was assigned to this individual provider in the NPPES registry on May 19, 2009.

Where is Michael Lawler located?

Michael Lawler practices at 1129 N Carbon St, Marion, IL 62959. The listed phone number is (618) 993-1111.

What is Michael Lawler's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Lawler enrolled in Medicare?

Yes. Michael 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.

Is Michael Lawler affiliated with any hospitals?

According to CMS data, Michael Lawler is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale, Heartland Regional Medical Center, Harrisburg Medical Center and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Michael Lawler was last updated on November 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.