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LAUREN RILEY GADSON PA
NPI 1699374199
Physician Assistant in Lawrenceville, GA

Active since October 26, 2020PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
2200 MEDICAL CENTER BLVD STE 230, LAWRENCEVILLE, GA 30046(678) 312-3557 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2024, Sep 21, 2024, Jun 15, 2023 and 3 more (6 updates tracked since 2020).

About Lauren Riley Gadson Pa NPPES

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

LAUREN RILEY GADSON PA (NPI 1699374199) is an individual physician assistant in Lawrenceville, Georgia, licensed in Georgia (11574) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and maintains a secondary practice location in Erie.

NPPES Registry Identity

NPI1699374199
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAUREN RILEY GADSONCredential: PA
Location Address2200 MEDICAL CENTER BLVD STE 230Lawrenceville, GA 30046-7766
Mailing Address2200 Medical Center Blvd Ste 230Lawrenceville, GA 30046-7766 · (678) 312-3557
Phone(678) 312-3557
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 26, 2020
Last NPPES UpdateNovember 4, 20246 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
✔ NPI 1699374199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 11574
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.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 11574 (GA)
2200 MEDICAL CENTER BLVD STE 230, Lawrenceville, GA 30046
Open in Google Maps ↗

Secondary Practice Location 1

Location 12315 Myrtle St Ste L10Erie, PA 16502-4611 · Phone (814) 454-2401 · Fax (814) 459-5992

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 Riley Gadson 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 ID4981010337
PECOS Enrollment IDI20230505000362
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 7

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.
56 services45 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
42 services42 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
18 services18 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
17 services14 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
12 services12 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier11 claims11 services$56.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

JAMES ALAN WOLFE M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2200 MEDICAL CENTER BLVD STE 230
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-3500
ALAN DANIEL WINSTON M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2200 MEDICAL CENTER BLVD STE 230
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-3500
DR. DAVID SAMUEL ZAPATA M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2200 MEDICAL CENTER BLVD STE 230
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-3500
MR. ANTHONY J MERCURIO RN
Nurse Practitioner (Family)
2200 MEDICAL CENTER BLVD STE 230
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-3500

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 Gadson's NPI number?

The NPI number for Lauren Gadson is 1699374199. It was assigned to this individual provider in the NPPES registry on October 26, 2020.

Where is Lauren Gadson located?

Lauren Gadson practices at 2200 Medical Center Blvd Ste 230, Lawrenceville, GA 30046. The listed phone number is (678) 312-3557.

What is Lauren Gadson's specialty?

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

Is Lauren Gadson enrolled in Medicare?

Yes. Lauren Gadson 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 Lauren Gadson affiliated with any hospitals?

According to CMS data, Lauren Gadson is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee and Northside Hospital Gwinnett.

When was this NPI record last updated?

The NPPES record for Lauren Gadson was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.