LAUREN M POTHIER PA-C
NPI 1669716528
Physician Assistant in Pendleton, IN

Active since November 16, 2012PECOS EnrolledAccepts Medicare Assignment
75 VILLAGE DR, PENDLETON, IN 46064(765) 778-0913 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2022, Sep 22, 2021 (2 updates tracked since 2021).

About Lauren M Pothier Pa-c NPPES

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

LAUREN M POTHIER PA-C (NPI 1669716528) is an individual physician assistant in Pendleton, Indiana, licensed in Indiana (10001456A) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, is affiliated with Henry County Memorial Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1669716528
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAUREN M POTHIERCredential: PA-C
Location Address75 VILLAGE DRPendleton, IN 46064-8960
Mailing Address75 Village DrPendleton, IN 46064-8960
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 16, 2012
Last NPPES UpdateAugust 9, 20222 updates tracked since enumeration
NPPES CertifiedAugust 9, 2022
NPI 1669716528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IN · 10001456A
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
75 VILLAGE DR, Pendleton, IN 46064

Other Identifiers 1

OtherP01347735IN · Medicare Rr Ptan

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

Lauren M Pothier Pa-c 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 ID2860639879
PECOS Enrollment IDI20130511000046
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 5

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 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.
99 services80 patients
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.
63 services54 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services27 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
14 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Henry County Memorial Hospital

Acute Care Hospitals · New Castle, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150030
Location1000 N 16th StNew Castle, IN 47362 · Henry County
Emergency services Birthing friendly

Ascension St Vincent Anderson

Acute Care Hospitals · Anderson, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150088
Location2015 Jackson StAnderson, IN 46016 · Madison County
Emergency services Birthing friendly

Community Hospital Of Anderson And Madison County

Acute Care Hospitals · Anderson, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150113
Location1515 N Madison AveAnderson, IN 46011 · Madison County
Emergency services Birthing friendly

Ascension St Vincent Fishers

Acute Care Hospitals · Fishers, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150181
Location13861 Olio RoadFishers, IN 46037 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46064 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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 5

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

Family Medicine
75 VILLAGE DR
PENDLETON, IN 46064
Family Medicine
75 VILLAGE DR
PENDLETON, IN 46064
Family Medicine
75 VILLAGE DR
PENDLETON, IN 46064
Preventive Medicine (Occupational Medicine)
75 VILLAGE DR
PENDLETON, IN 46064
Family Medicine
75 VILLAGE DR
PENDLETON, IN 46064

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 Lauren Pothier's NPI number?

The NPI number for Lauren Pothier is 1669716528. It was assigned to this individual provider in the NPPES registry on November 16, 2012.

Where is Lauren Pothier located?

Lauren Pothier practices at 75 Village Dr, Pendleton, IN 46064. The listed phone number is (765) 778-0913.

What is Lauren Pothier's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lauren Pothier enrolled in Medicare?

Yes. Lauren Pothier 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 Lauren Pothier accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Lauren Pothier 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 Lauren Pothier affiliated with any hospitals?

According to CMS data, Lauren Pothier is affiliated with Henry County Memorial Hospital, Ascension St Vincent Anderson, Community Hospital Of Anderson And Madison County and Ascension St Vincent Fishers.

When was this NPI record last updated?

The NPPES record for Lauren Pothier was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.