DONNA LAWLOR MD
NPI 1669405528
Family Medicine in Elkader, IA
About Donna Lawlor Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DONNA LAWLOR MD (NPI 1669405528) is an individual family medicine provider in Elkader, Iowa, licensed in Iowa (MD-40037) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Mercyone Dubuque Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1989).
NPPES Registry Identity
Specialties & Licenses
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
Donna Lawlor 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
2Medicare enrollment records show Donna Lawlor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Elkader, IA 52043
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1184645434 (Iowa)
- 51 clinicians in this Medicare group
Dubuque, IA 52002
- Reassigned Medicare billing, Iowa enrollment
- 272 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
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercyone Dubuque Medical Center
Acute Care Hospitals · Dubuque, IAMercyone Elkader Medical Center
Critical Access Hospitals · Elkader, IACrossing Rivers Health Medical Center
Critical Access Hospitals · Prairie Du Chien, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 52043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Donna Lawlor's NPI number?
The NPI number for Donna Lawlor is 1669405528. It was assigned to this individual provider in the NPPES registry on July 7, 2006.
Where is Donna Lawlor located?
Donna Lawlor practices at 911 Carter St NW, Elkader, IA 52043. The listed phone number is (563) 245-1717.
What is Donna Lawlor's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Donna Lawlor enrolled in Medicare?
Yes. Donna Lawlor 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 Donna Lawlor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donna Lawlor reassigns Medicare benefits to 2 organizations: Central Community Hospital (Elkader, IA) and Medical Associates Clinic P C (Dubuque, IA). 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 Donna Lawlor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Donna Lawlor accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 1 other insurer list Donna Lawlor 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 Donna Lawlor affiliated with any hospitals?
According to CMS data, Donna Lawlor is affiliated with Mercyone Dubuque Medical Center, Mercyone Elkader Medical Center and Crossing Rivers Health Medical Center.
When was this NPI record last updated?
The NPPES record for Donna Lawlor was last updated on October 5, 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.
# Donna Lawlor, MD · NPI 1669405528
Family Medicine physician in Elkader, Iowa. Individual provider, active in the CMS NPPES registry since July 7, 2006.
## Identity
- **NPI:** 1669405528 (Entity type: Individual)
- **Enumerated:** July 7, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD-40037 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 911 CARTER ST NW, Elkader, IA 52043-9016
- **Phone:** (563) 245-1717 · **Fax:** (563) 245-2066
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Central Community Hospital (NPI 1952986010, Elkader, IA); Medical Associates Clinic P C (NPI 1457300790, Dubuque, IA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 1989
## Record status
- **NPPES last updated:** October 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1669405528) · Data from the CMS NPPES public registry.