LAUREN GALLAHUE
NPI 1689300667
Physician Assistant in Stoneham, MA

Active since August 01, 2022PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
11 BARBARA RD, STONEHAM, MA 02180(781) 484-8076 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 11, 2022, Aug 1, 2022 (2 updates tracked since 2022).

About Lauren Gallahue NPPES

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

LAUREN GALLAHUE (NPI 1689300667) is an individual physician assistant in Stoneham, Massachusetts, licensed in Massachusetts (PA8829) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Anna Jaques Hospital, and maintains a secondary practice location in Burlington.

NPPES Registry Identity

NPI1689300667
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAUREN GALLAHUE
Location Address11 BARBARA RDStoneham, MA 02180-3446
Mailing Address11 Barbara RdStoneham, MA 02180-3446 · (781) 484-8076
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 1, 2022
Last NPPES UpdateOctober 11, 20222 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
NPI 1689300667 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 MA · PA8829
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.

11 BARBARA RD, Stoneham, MA 02180

Secondary Practice Location 1

Location 141 Mall RdBurlington, MA 01805-3446 · Phone (781) 744-8000

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 Gallahue 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 ID3779950845
PECOS Enrollment IDI20221102000598
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
86 services86 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
39 services39 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
32 services32 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Anna Jaques Hospital

Acute Care Hospitals · Newburyport, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220029
Location25 Highland AvenueNewburyport, MA 01950 · Essex County
Emergency services Birthing friendly

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02180 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

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 Gallahue's NPI number?

The NPI number for Lauren Gallahue is 1689300667. It was assigned to this individual provider in the NPPES registry on August 1, 2022.

Where is Lauren Gallahue located?

Lauren Gallahue practices at 11 Barbara Rd, Stoneham, MA 02180. The listed phone number is (781) 484-8076.

What is Lauren Gallahue's specialty?

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

Is Lauren Gallahue enrolled in Medicare?

Yes. Lauren Gallahue 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 Gallahue accept?

Health plans from Anthem Blue Cross and Blue Shield list Lauren Gallahue 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 Gallahue affiliated with any hospitals?

According to CMS data, Lauren Gallahue is affiliated with Anna Jaques Hospital and Northeast Hospital Corporation.

When was this NPI record last updated?

The NPPES record for Lauren Gallahue was last updated on October 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.