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LORI L ROUGHTON NP
NPI 1649514597
Nurse Practitioner - Adult Health in Quogue, NY

Active since November 15, 2012PECOS Enrolled
33 MONTAUK HWY, BOX 1555, QUOGUE, NY 11959(631) 653-6000(631) 653-8310 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lori L Roughton Np NPPES

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

LORI L ROUGHTON NP (NPI 1649514597) is an individual adult health provider in Quogue, New York, licensed in New York (30306135) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649514597
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLORI L ROUGHTONCredential: NP
Location Address33 MONTAUK HWY, BOX 1555Quogue, NY 11959-4000
Mailing Address33 Montauk Hwy, Box 1555Quogue, NY 11959-4000 · (631) 653-6000 · Fax (631) 653-8310
Phone(631) 653-6000
Fax(631) 653-8310
Sole ProprietorYes
Enumeration DateNovember 15, 2012
✔ NPI 1649514597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 30306135
33 MONTAUK HWY, Quogue, NY 11959
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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 (PECOS)

Lori L Roughton Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11959 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers22 claims22 services$13.82 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$5.80 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 4

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

MAGDALENA HENNESSY
Nurse Practitioner (Adult Health)
33 MONTAUK HWY
QUOGUE, NY 11959
Suffolk County (631) 653-6000
ASHLEY OTT P.A.
Family Medicine
33 MONTAUK HWY
QUOGUE, NY 11959
Suffolk County (631) 653-6000
MRS. STEPHANIE CLAIRE BURNS NP-C
Nurse Practitioner (Adult Health)
33 MONTAUK HWY, BOX 1555
QUOGUE, NY 11959
Suffolk County (631) 653-6000
PECONIC FAMILY MEDICINE PC
Family Medicine
33 MONTAUK HWY
QUOGUE, NY 11959
Suffolk County (631) 653-6000

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 Lori Roughton's NPI number?

The NPI number for Lori Roughton is 1649514597. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Lori Roughton located?

Lori Roughton practices at 33 Montauk Hwy Box 1555, Quogue, NY 11959. The listed phone number is (631) 653-6000.

What is Lori Roughton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Lori Roughton enrolled in Medicare?

Yes. Lori Roughton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lori Roughton was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.