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LAUREN LUSTIG
NPI 1770129991
Nurse Practitioner in Effingham, IL

Active since November 22, 2019PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
900 W TEMPLE AVE STE 1500, EFFINGHAM, IL 62401(217) 347-0458(217) 342-2992 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2022, Jan 6, 2022, Nov 22, 2019 (3 updates tracked since 2019).

About Lauren Lustig NPPES

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

LAUREN LUSTIG (NPI 1770129991) is an individual nurse practitioner in Effingham, Illinois, licensed in Illinois (209019089) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1770129991
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLAUREN LUSTIG
Location Address900 W TEMPLE AVE STE 1500Effingham, IL 62401-2121
Mailing Address900 W Temple Ave Ste 1500Effingham, IL 62401-2121 · (217) 347-0458 · Fax (217) 342-2992
Phone(217) 347-0458
Fax(217) 342-2992
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 22, 2019
Last NPPES UpdateJanuary 26, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2022
✔ NPI 1770129991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209019089
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
900 W TEMPLE AVE STE 1500, Effingham, IL 62401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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 Lustig 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 ID4284060286
PECOS Enrollment IDI20200211002726
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 2

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
208 services109 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62401 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier17 claims17 services$7.94 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$49.90 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$109.39 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 5

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

STEPHANIE D JACKSON APRN
Nurse Practitioner (Family)
900 W TEMPLE AVE STE 1500
EFFINGHAM, IL 62401
Effingham County (217) 347-0458
MRS. SUSAN LYNN LAMONICA APRN
Registered Nurse (Psychiatric/Mental Health)
900 W TEMPLE AVE STE 1500
EFFINGHAM, IL 62401
Effingham County (217) 347-0458
CHANCIE WARREN PMHNP
Nurse Practitioner
900 W TEMPLE AVE STE 1500
EFFINGHAM, IL 62401
Effingham County (217) 347-0458
HSHS MEDICAL GROUP INC
Clinic/Center (Rural Health)
900 W TEMPLE AVE STE 1500
EFFINGHAM, IL 62401
Effingham County (217) 347-0458
ANDREW POULOS MD
Family Medicine
900 W TEMPLE AVE STE 1500
EFFINGHAM, IL 62401
Effingham County (217) 347-0458

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 Lustig's NPI number?

The NPI number for Lauren Lustig is 1770129991. It was assigned to this individual provider in the NPPES registry on November 22, 2019.

Where is Lauren Lustig located?

Lauren Lustig practices at 900 W Temple Ave Ste 1500, Effingham, IL 62401. The listed phone number is (217) 347-0458.

What is Lauren Lustig's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lauren Lustig enrolled in Medicare?

Yes. Lauren Lustig 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 Lustig accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Lauren Lustig 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 Lustig affiliated with any hospitals?

According to CMS data, Lauren Lustig is affiliated with St Anthonys Memorial Hospital, St Johns Hospital, St Marys Hospital and Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Lauren Lustig was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.