BENJAMIN LAWLOR PA
NPI 1679163075
Physician Assistant in Redford, MI

Active since January 20, 2021PECOS EnrolledAccepts Medicare Assignment
14671 TELEGRAPH RD, REDFORD, MI 48239(313) 948-3030 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Benjamin Lawlor Pa NPPES

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

BENJAMIN LAWLOR PA (NPI 1679163075) is an individual physician assistant in Redford, Michigan, licensed in Hawaii (AMD-1274) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, is affiliated with Hilo Medical Center, and is a graduate of Nova Southeastern College Of Osteo Medicine (2020).

NPPES Registry Identity

NPI1679163075
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBENJAMIN LAWLORCredential: PA
Location Address14671 TELEGRAPH RDRedford, MI 48239-3300
Mailing Address14671 Telegraph RdRedford, MI 48239-3300 · (734) 771-8504
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2020
Enumeration DateJanuary 20, 2021
Last NPPES UpdateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
NPI 1679163075 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 HI · AMD-1274
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.
14671 TELEGRAPH RD, Redford, MI 48239

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

Benjamin Lawlor Pa 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 ID1850705260
PECOS Enrollment IDI20230929000716
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.

Hospital Affiliations CMS Care Compare 2

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

Hilo Medical Center

Acute Care Hospitals · Hilo, HI
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120005
Location1190 Waianuenue AvenueHilo, HI 96720 · Hawaii County
Emergency services Birthing friendly

Kau Hospital

Critical Access Hospitals · Pahala, HI
OwnershipGovernment - State
CMS Certification Number121301
Location1 Kamani StreetPahala, HI 96777 · Hawaii County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48239 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 20

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

Nurse Practitioner
14671 TELEGRAPH RD
REDFORD, MI 48239
Physician Assistant
14671 TELEGRAPH RD
REDFORD, MI 48239
Physician Assistant
14671 TELEGRAPH RD
REDFORD, MI 48239
Nurse Practitioner
14671 TELEGRAPH RD
REDFORD, MI 48239
Clinic/Center (Primary Care)
14671 TELEGRAPH RD
REDFORD, MI 48239
Physician Assistant
14671 TELEGRAPH RD
REDFORD, MI 48239
Physician Assistant
14671 TELEGRAPH RD
REDFORD, MI 48239
Nurse Practitioner (Family)
14671 TELEGRAPH RD
REDFORD, MI 48239

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 Benjamin Lawlor's NPI number?

The NPI number for Benjamin Lawlor is 1679163075. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Where is Benjamin Lawlor located?

Benjamin Lawlor practices at 14671 Telegraph Rd, Redford, MI 48239. The listed phone number is (313) 948-3030.

What is Benjamin Lawlor's specialty?

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

Is Benjamin Lawlor enrolled in Medicare?

Yes. Benjamin 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.

Is Benjamin Lawlor affiliated with any hospitals?

According to CMS data, Benjamin Lawlor is affiliated with Hilo Medical Center and Kau Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Lawlor was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.