LAUREN E ABERN MD
NPI 1851528467
Obstetrics & Gynecology in Providence, RI

Active since June 22, 2009PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
101 DUDLEY ST, PROVIDENCE, RI 02905(401) 274-1122(401) 459-0100 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 1, 2024, Mar 7, 2019, Jan 23, 2017 (3 updates tracked since 2017).

About Lauren E Abern Md NPPES

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

LAUREN E ABERN MD (NPI 1851528467) is an individual obstetrics & gynecology provider in Providence, Rhode Island, licensed in Rhode Island (MD19631) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Women & Infants Hospital Of Rhode Island, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2009).

NPPES Registry Identity

NPI1851528467
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameLAUREN E ABERNCredential: MD
Location Address101 DUDLEY STProvidence, RI 02905-2401
Mailing Address455 Toll Gate Rd, Prc And CredentialingWarwick, RI 02886-2759 · (401) 273-0641 · Fax (401) 273-2919
Fax(401) 459-0100
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2009
Enumeration DateJune 22, 2009
Last NPPES UpdateAugust 1, 20243 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
NPI 1851528467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in RI · MD19631
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
101 DUDLEY ST, Providence, RI 02905

Accepted 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 E Abern 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.

PECOS PAC ID8729237722
PECOS Enrollment IDI20240410002183
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.

Hospital Affiliations CMS Care Compare

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

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410010
Location101 Dudley StreetProvidence, RI 02905 · Providence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine
101 DUDLEY ST
PROVIDENCE, RI 02905
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
101 DUDLEY ST
PROVIDENCE, RI 02905
Social Worker (Clinical)
101 DUDLEY ST
PROVIDENCE, RI 02905
Genetic Counselor, MS
101 DUDLEY ST
PROVIDENCE, RI 02905
Advanced Practice Midwife
101 DUDLEY ST
PROVIDENCE, RI 02905
Social Worker (Clinical)
101 DUDLEY ST
PROVIDENCE, RI 02905
Obstetrics & Gynecology (Obstetrics)
101 DUDLEY ST
PROVIDENCE, RI 02905
Obstetrics & Gynecology
101 DUDLEY ST
PROVIDENCE, RI 02905

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 Abern's NPI number?

The NPI number for Lauren Abern is 1851528467. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Where is Lauren Abern located?

Lauren Abern practices at 101 Dudley St, Providence, RI 02905. The listed phone number is (401) 274-1122.

What is Lauren Abern's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Lauren Abern enrolled in Medicare?

Yes. Lauren Abern 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 Abern accept?

Health plans from Wellpoint list Lauren Abern 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 Abern affiliated with any hospitals?

According to CMS data, Lauren Abern is affiliated with Women & Infants Hospital Of Rhode Island.

When was this NPI record last updated?

The NPPES record for Lauren Abern was last updated on August 1, 2024. 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.