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LAUREN E TJIMOS NP
NPI 1770032575
Nurse Practitioner - Family in East Setauket, NY

Active since September 22, 2016PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
26 RESEARCH WAY, EAST SETAUKET, NY 11733(163) 144-4058 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 2, 2022, Dec 9, 2021, Sep 22, 2016 (3 updates tracked since 2016).

About Lauren E Tjimos Np NPPES

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

LAUREN E TJIMOS NP (NPI 1770032575) is an individual family provider in East Setauket, New York, licensed in New York (F340908-1) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1770032575
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAUREN E TJIMOSCredential: NP
Location Address26 RESEARCH WAYEast Setauket, NY 11733-3526
Mailing Address26 Research WayEast Setauket, NY 11733-3526 · (631) 444-0580 · Fax (631) 444-0573
Phone(163) 144-4058
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 22, 2016
Last NPPES UpdateMay 2, 20223 updates tracked since enumeration
NPPES CertifiedMay 2, 2022
✔ NPI 1770032575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F340908-1
26 RESEARCH WAY, East Setauket, NY 11733
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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 E Tjimos Np 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 ID6507148889
PECOS Enrollment IDI20170120002393
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 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.

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.
243 services151 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
151 services100 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.
97 services77 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
74 services62 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
24 services23 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
32 suppliers69 claims201 services$6.14 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
18 suppliers28 claims37 services$1.01 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
13 suppliers208 claims208 services$177.89 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 20

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

MS. HAKSOO KIM NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0502
MS. JENNIFER M MULVEY FITZGERALD NP, CDE
Nurse Practitioner (Family)
26 RESEARCH WAY, SUITE 1
EAST SETAUKET, NY 11733
Suffolk County (914) 649-9993
DR. LEONARD ARBEIT M.D.
Internal Medicine (Nephrology)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0580
DR. EDWARD NORD M.D.
Internal Medicine (Nephrology)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0580
DR. RAJEEV BALWANT PATEL M.D.
Internal Medicine (Pulmonary Disease)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-9953
DR. HAROLD CARLSON M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0580
DR. MOHAMED MOHSEN MANSOUR M.D.
Internal Medicine (Pulmonary Disease)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-1750
MRS. FATIMA SHEIKH D.O
Internal Medicine (Nephrology)
26 RESEARCH WAY
EAST SETAUKET, NY 11733
Suffolk County (631) 444-0580

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 Tjimos's NPI number?

The NPI number for Lauren Tjimos is 1770032575. It was assigned to this individual provider in the NPPES registry on September 22, 2016.

Where is Lauren Tjimos located?

Lauren Tjimos practices at 26 Research Way, East Setauket, NY 11733. The listed phone number is (163) 144-4058.

What is Lauren Tjimos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lauren Tjimos enrolled in Medicare?

Yes. Lauren Tjimos 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 Tjimos affiliated with any hospitals?

According to CMS data, Lauren Tjimos is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Lauren Tjimos was last updated on May 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.