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TODD K LAWRENCE M.D.
NPI 1790772614
Emergency Medicine in Waterloo, IA

Active since October 05, 2005PECOS Enrolled
1825 LOGAN AVE, WATERLOO, IA 50703 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 7, 2023, Oct 15, 2018 (2 updates tracked since 2018).

About Todd K Lawrence M.d. NPPES

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

TODD K LAWRENCE M.D. (NPI 1790772614) is an individual emergency medicine provider in Waterloo, Iowa, licensed in Iowa (34751) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Waterloo.

NPPES Registry Identity

NPI1790772614
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTODD K LAWRENCECredential: M.D.
Location Address1825 LOGAN AVEWaterloo, IA 50703
Mailing Address1825 Logan AveWaterloo, IA 50703-1916 · (319) 235-3697
Sole ProprietorNo
Enumeration DateOctober 5, 2005
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1790772614 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 IA · 34751
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 ListedFamily MedicineTaxonomy 207Q00000X · License 34751 (IA)
1825 LOGAN AVE, Waterloo, IA 50703
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Secondary Practice Location 1

Location 12055 Kimball Ave, Suite 100Waterloo, IA 50702-5014 · Phone (319) 272-2112 · Fax (319) 272-2107

Other Identifiers 2

Other1790772614IA · Blue Shield
Medicaid1790772614IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Todd K Lawrence M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

5

Medicare enrollment records show Todd Lawrence reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allen Memorial Hospital Corporation
Same address
Emergency Medicine
1825 LOGAN AVE
Waterloo, IA 50703
  • Reassigned Medicare billing, Iowa enrollment
  • 273 clinicians in this Medicare group
NPI 1346292521 (319) 235-3941
Iowa Emergency Physicians LLP
4.5 mi
Emergency Medicine
3421 WEST NINTH STREET
Waterloo, IA 50702
  • Reassigned Medicare billing, Iowa enrollment
  • 70 clinicians in this Medicare group
NPI 1386879427 (319) 272-8000
Waverly Health Center
15 mi
Critical Access
312 9TH ST SW
Waverly, IA 50677
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1033125463 (Iowa)
  • 66 clinicians in this Medicare group
NPI 1447299953 (319) 352-4120
Grundy County Memorial Hospital
34 mi
Emergency Medicine
201 E J AVE
Grundy Center, IA 50638
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1821055989 (Iowa)
  • 62 clinicians in this Medicare group
NPI 1114012085 (319) 824-5421
Unitypoint Health - Marshalltown
48 mi
Emergency Medicine
55 UNITYPOINT WAY
Marshalltown, IA 50158
  • Reassigned Medicare billing, Iowa enrollment
  • 214 clinicians in this Medicare group
NPI 1164957593 (641) 754-5145

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 4

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 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.
70 services70 patients
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.
69 services67 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
62 services58 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.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50703 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

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.

DR. KEERAN GHANDIVEL MD
Anesthesiology
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (319) 235-3886
MS. AMANDA L. VERVAECKE A.R.N.P.
Nurse Practitioner
1825 LOGAN AVE, WOUND & OSTOMY CLINIC
WATERLOO, IA 50703
Black Hawk County (319) 235-3121
TAYLOR KRISTIN KLINE PA, RDN
Physician Assistant
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (319) 235-3941
ALLEN MEMORIAL HOSPITAL CORPORATION LAB
Clinical Medical Laboratory
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (319) 235-3941
ELVIS SABIC ARNP
Nurse Practitioner (Family)
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (319) 235-3941
DR. PRADEEP MANJANBAIL RAMESH MD
Internal Medicine
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (319) 235-3838
SUSAN MUELLER PHARMD
Pharmacist
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (319) 235-3510
HANNAH LEIGH KELLEY LMSW
Social Worker (Clinical)
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (563) 271-7700

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 Todd Lawrence's NPI number?

The NPI number for Todd Lawrence is 1790772614. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is Todd Lawrence located?

Todd Lawrence practices at 1825 Logan Ave, Waterloo, IA 50703.

What is Todd Lawrence's specialty?

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

Is Todd Lawrence enrolled in Medicare?

Yes. Todd Lawrence is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Todd Lawrence's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Lawrence reassigns Medicare benefits to 5 organizations: Allen Memorial Hospital Corporation (Waterloo, IA), Iowa Emergency Physicians LLP (Waterloo, IA), Waverly Health Center (Waverly, IA), Grundy County Memorial Hospital (Grundy Center, IA) and Unitypoint Health - Marshalltown (Marshalltown, IA). 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 Todd Lawrence's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Todd Lawrence accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Todd Lawrence 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 Todd Lawrence was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.