DONNA LAWLOR MD
NPI 1669405528
Family Medicine in Elkader, IA

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
911 CARTER ST NW, ELKADER, IA 52043(563) 245-1717(563) 245-2066 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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 Elkader Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1989).

NPPES Registry Identity

NPI1669405528
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDONNA LAWLORCredential: MD
Location Address911 CARTER ST NWElkader, IA 52043-9016
Mailing Address911 Carter St NwElkader, IA 52043-9016 · (563) 245-1717 · Fax (563) 245-2066
Fax(563) 245-2066
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1989
Enumeration DateJuly 7, 2006
Last NPPES UpdateOctober 5, 2023
NPPES CertifiedOctober 5, 2023
NPI 1669405528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IA · MD-40037
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

911 CARTER ST NW, Elkader, IA 52043

Accepted Insurance

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

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.

PECOS PAC ID42402620
PECOS Enrollment IDI20150817000957
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 10

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, 20-29 minutes 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.
103 services81 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
92 services82 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
41 services24 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
21 services11 patients
Follow-up nursing facility visit per day, typically 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
18 services13 patients
Follow-up nursing facility visit per day, typically 15 minutes 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
18 services14 patients

Hospital Affiliations CMS Care Compare

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

Mercyone Elkader Medical Center

Critical Access Hospitals · Elkader, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161319
Location901 Davidson Street NWElkader, IA 52043 · Clayton County
Emergency services

Physician 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.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $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 6

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

Family Medicine
911 CARTER ST NW
ELKADER, IA 52043
Family Medicine
911 CARTER ST NW
ELKADER, IA 52043
Clinic/Center (Rural Health)
911 CARTER ST NW
ELKADER, IA 52043
Nurse Practitioner
911 CARTER ST NW
ELKADER, IA 52043
Nurse Practitioner (Family)
911 CARTER ST NW
ELKADER, IA 52043
Clinic/Center (Rural Health)
911 CARTER ST NW
ELKADER, IA 52043

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.

What insurance does Donna Lawlor accept?

Health plans from Medica and Oscar Insurance Company 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 Elkader 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 with the weekly NPPES data releases published by CMS.