1. Home
  2. Directory
  3. Connecticut
  4. Madison
  5. Dermatology
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LAUREN ELAINE PROVINI MD
NPI 1851829972
Dermatology - Pediatric Dermatology in Madison, CT

Active since June 02, 2017PECOS Enrolled
73.56/100
CMS Quality Rating
11 WOODLAND RD STE 1, MADISON, CT 06443(203) 421-2055(203) 868-0882 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2026, Jul 21, 2022, Jun 2, 2017 (3 updates tracked since 2017).

About Dr. Lauren Elaine Provini Md NPPES

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

DR. LAUREN ELAINE PROVINI MD (NPI 1851829972) is an individual pediatric dermatology provider in Madison, Connecticut, licensed in Connecticut (70873) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851829972
Entity TypeIndividualFemale
Primary Taxonomy207NP0225X
Provider Legal NameDR. LAUREN ELAINE PROVINICredential: MD
Location Address11 WOODLAND RD STE 1Madison, CT 06443-2380
Mailing Address11 Woodland Rd Ste 1Madison, CT 06443-2380 · (203) 421-2055 · Fax (203) 868-0882
Phone(203) 421-2055
Fax(203) 868-0882
Sole ProprietorNo
Enumeration DateJune 2, 2017
Last NPPES UpdateAugust 6, 20263 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1851829972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Pediatric DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NP0225X
License✔ Licensed in CT · 70873
Definition
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
11 WOODLAND RD STE 1, Madison, CT 06443
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lauren Elaine Provini Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06443 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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 Provini's NPI number?

The NPI number for Lauren Provini is 1851829972. It was assigned to this individual provider in the NPPES registry on June 2, 2017.

Where is Lauren Provini located?

Lauren Provini practices at 11 Woodland Rd Ste 1, Madison, CT 06443. The listed phone number is (203) 421-2055.

What is Lauren Provini's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Pediatric Dermatology, with taxonomy code 207NP0225X.

Is Lauren Provini enrolled in Medicare?

Yes. Lauren Provini is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lauren Provini was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.