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LAUREN SCHALK D.O
NPI 1790139392
Emergency Medicine in Portsmouth, VA

Active since April 20, 2016PECOS EnrolledAccepts Medicare Assignment
620 JOHN PAUL JONES CIRCLE DRIVE, NAVAL MEDICAL CENTER PORTSMOUTH, PORTSMOUTH, VA 23708(757) 953-0669 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 14, 2023, May 9, 2021 (2 updates tracked since 2021).

About Lauren Schalk D.o NPPES

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

LAUREN SCHALK D.O (NPI 1790139392) is an individual emergency medicine provider in Portsmouth, Virginia, licensed in Virginia (0102205015) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1790139392
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameLAUREN SCHALKCredential: D.O
Location Address620 JOHN PAUL JONES CIRCLE DRIVE, NAVAL MEDICAL CENTER PORTSMOUTHPortsmouth, VA 23708
Mailing Address26505 Greenleaf StRoseville, MI 48066-3369 · (586) 557-3085
Phone(757) 953-0669
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2016
Enumeration DateApril 20, 2016
Last NPPES UpdateNovember 14, 20232 updates tracked since enumeration
NPPES CertifiedNovember 14, 2023
✔ NPI 1790139392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in VA · 0102205015
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
620 JOHN PAUL JONES CIRCLE DRIVE, Portsmouth, VA 23708
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Other Names 1

Former Name (1)Lauren Pitters

Other Identifiers 1

Other1456113539Military Dod Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Health and more.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 Schalk D.o 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 ID5698160604
PECOS Enrollment IDI20230620003285
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 Reassignments

2

Medicare enrollment records show Lauren Schalk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Western Virginia Regional Emergency Physicians, LLC
348 mi
Emergency Medicine
100 15TH ST NW
Norton, VA 24273
  • Reassigned Medicare billing, Virginia enrollment
  • 207 clinicians in this Medicare group
NPI 1386183028 (276) 439-1000
Sierra Estrellas Emergency Physicians LLC
2,183 mi
Emergency Medicine
2400 S AVENUE A
Yuma, AZ 85364
  • Reassigned Medicare billing, Arizona enrollment
  • 79 clinicians in this Medicare group
NPI 1578001319 (954) 939-5000

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
71 services70 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
27 services27 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23708 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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 Schalk's NPI number?

The NPI number for Lauren Schalk is 1790139392. It was assigned to this individual provider in the NPPES registry on April 20, 2016. The provider is also known as Lauren Pitters.

Where is Lauren Schalk located?

Lauren Schalk practices at 620 John Paul Jones Circle Drive Naval Medical Center Portsmouth, Portsmouth, VA 23708. The listed phone number is (757) 953-0669.

What is Lauren Schalk's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Lauren Schalk enrolled in Medicare?

Yes. Lauren Schalk 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 organizations bill Medicare for Lauren Schalk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Schalk reassigns Medicare benefits to 2 organizations: Western Virginia Regional Emergency Physicians, LLC (Norton, VA) and Sierra Estrellas Emergency Physicians LLC (Yuma, AZ). Each 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 Schalk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Schalk accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Health, Oscar Health Plan, Inc. and Oscar Insurance Company list Lauren Schalk 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.

When was this NPI record last updated?

The NPPES record for Lauren Schalk was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.