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LAUREN C NIGRO MD
NPI 1710324462
Surgery - Plastic and Reconstructive Surgery in Richmond, VA

Active since June 03, 2013PECOS EnrolledAccepts Medicare Assignment
83.33/100
CMS Quality Rating
1213 E CLAY ST, RICHMOND, VA 23298(804) 828-3060(804) 828-3045 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 24, 2020, Mar 3, 2020 (2 updates tracked since 2020).

About Lauren C Nigro Md NPPES

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

LAUREN C NIGRO MD (NPI 1710324462) is an individual plastic and reconstructive surgery provider in Richmond, Virginia, licensed in Virginia (0101269052) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center Inc, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1710324462
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameLAUREN C NIGROCredential: MD
Location Address1213 E CLAY STRichmond, VA 23298-5071
Mailing AddressPo Box 91734Richmond, VA 23291-1734 · (804) 358-6100 · Fax (804) 342-7619
Phone(804) 828-3060
Fax(804) 828-3045
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 3, 2013
Last NPPES UpdateSeptember 24, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2020
✔ NPI 1710324462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in VA · 0101269052
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedPlastic SurgeryTaxonomy 208200000X · License D0086750 (MD)
1213 E CLAY ST, Richmond, VA 23298
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11250 E Marshall StRichmond, VA 23298-5023 · Phone (804) 828-3060 · Fax (804) 828-3045
Location 29109 Stony Point DrRichmond, VA 23235-1979 · Phone (804) 327-8001 · Fax (804) 327-8002
Location 3417 N 11th StRichmond, VA 23298-5024 · Phone (804) 828-3044 · Fax (804) 828-3045
Location 47301 Forest Ave Ste 100Richmond, VA 23226-3792 · Phone (804) 288-5222 · Fax (804) 288-4261

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lauren C Nigro 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 ID6002058781
PECOS Enrollment IDI20190827001871
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.

Medicare Billing Reassignment

Medicare enrollment records show Lauren Nigro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Paul Place Specialists, Inc.
129 mi
Hematology & Oncology
227 SAINT PAUL PLACE, 4TH FLOOR
Baltimore, MD 21202
  • Reassigned Medicare billing, Maryland enrollment
  • 423 clinicians in this Medicare group
NPI 1174564736 (410) 783-5858

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients
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.
16 services14 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.
12 services11 patients
Breast reduction 19318
Breast reduction is a surgical procedure that reduces the size of your chest area to alleviate discomfort or achieve a desired appearance. It involves removing excess tissue and reshaping the remaining area. It can help with issues like back pain, skin irritation, and posture problems.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center Inc

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210008
Location301 Saint Paul PlaceBaltimore, MD 21202 · Baltimore City County
Emergency services Birthing friendly

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.

83.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.7
Promoting Interoperability100
Improvement Activities40

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.

GUILIANO LUCA MELKI MD
Emergency Medicine
1213 E CLAY ST
RICHMOND, VA 23298
Richmond City (804) 828-0996
ETHAN NEWHAM AGACNP-BC
Nurse Practitioner (Acute Care)
1213 E CLAY ST
RICHMOND, VA 23298
Richmond City (804) 828-9000
CARMEN ELISE ASHA TOOMER
Emergency Medicine
1213 E CLAY ST
RICHMOND, VA 23298
Richmond City (804) 828-0996
NIKHIL CHANDRAVEL MD
Emergency Medicine
1213 E CLAY ST
RICHMOND, VA 23298
Richmond City (804) 828-0648
MS. AMANDA MORGAN TRAYLOR FNP-C
Nurse Practitioner
1213 E CLAY ST
RICHMOND, VA 23298
Richmond City (804) 828-3060
APRIL MARIE ALEXANDER DO
Emergency Medicine
1213 E CLAY ST
RICHMOND, VA 23298
Richmond City (804) 828-0996
DR. NATALIE JEONGMIN NELSON KIM DO
Emergency Medicine
1213 E CLAY ST
RICHMOND, VA 23298
Richmond City (804) 828-0996
ABIGAIL DOROTHY STANLEY
Emergency Medicine
1213 E CLAY ST
RICHMOND, VA 23298
Richmond City (804) 828-0996

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 Nigro's NPI number?

The NPI number for Lauren Nigro is 1710324462. It was assigned to this individual provider in the NPPES registry on June 3, 2013.

Where is Lauren Nigro located?

Lauren Nigro practices at 1213 E Clay St, Richmond, VA 23298. The listed phone number is (804) 828-3060.

What is Lauren Nigro's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Lauren Nigro enrolled in Medicare?

Yes. Lauren Nigro 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.

Which organization bills Medicare for Lauren Nigro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Nigro reassigns Medicare benefits to St Paul Place Specialists, Inc. (Baltimore, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lauren Nigro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Nigro accept?

Health plans from Oscar Health list Lauren Nigro 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 Nigro affiliated with any hospitals?

According to CMS data, Lauren Nigro is affiliated with Mercy Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Lauren Nigro was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.