DR. LAWRENCE JORDAN BREYFOGLE MD
NPI 1710509872
Student in an Organized Health Care Education/Training Program in Cambridge, MA
About Dr. Lawrence Jordan Breyfogle Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LAWRENCE JORDAN BREYFOGLE MD (NPI 1710509872) is an individual student in an organized health care education/training program in Cambridge, Massachusetts, licensed in Michigan (4351046184) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Mount Auburn Hospital, and is a graduate of Tufts University School Of Dental Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Lawrence Jordan Breyfogle 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.
Medicare Billing Reassignment
Medicare enrollment records show Lawrence Breyfogle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cambridge, MA 02138
- Reassigned Medicare billing, Massachusetts enrollment
- 170 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mount Auburn Hospital
Acute Care Hospitals · Cambridge, MAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CAMBRIDGE, MA 02138
CAMBRIDGE, MA 02138
CAMBRIDGE, MA 02138
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 Lawrence Breyfogle's NPI number?
The NPI number for Lawrence Breyfogle is 1710509872. It was assigned to this individual provider in the NPPES registry on May 12, 2020.
Where is Lawrence Breyfogle located?
Lawrence Breyfogle practices at 330 Mount Auburn St, Cambridge, MA 02138. The listed phone number is (617) 499-5070.
What is Lawrence Breyfogle's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Lawrence Breyfogle enrolled in Medicare?
Yes. Lawrence Breyfogle 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 Lawrence Breyfogle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lawrence Breyfogle reassigns Medicare benefits to President & Fellows Of Harvard College (Cambridge, MA). 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 Lawrence Breyfogle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lawrence Breyfogle accept?
Health plans from Taro Health list Lawrence Breyfogle 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 Lawrence Breyfogle affiliated with any hospitals?
According to CMS data, Lawrence Breyfogle is affiliated with Mount Auburn Hospital.
When was this NPI record last updated?
The NPPES record for Lawrence Breyfogle was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Lawrence Jordan Breyfogle, MD · NPI 1710509872
Student in an Organized Health Care Education/Training Program provider in Cambridge, Massachusetts. Individual provider, active in the CMS NPPES registry since May 12, 2020.
## Identity
- **NPI:** 1710509872 (Entity type: Individual)
- **Enumerated:** May 12, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 4351046184 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 330 MOUNT AUBURN ST, Cambridge, MA 02138-5502
- **Phone:** (617) 499-5070
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** President & Fellows Of Harvard College (NPI 1952366312, Cambridge, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tufts University School Of Dental Medicine, class of 2020
## Record status
- **NPPES last updated:** May 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1710509872) · Data from the CMS NPPES public registry.