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

Q: 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.

Q: What is Lauren Provini's specialty?

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

Q: 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 2 months 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.

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: October 18, 2026.

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

On this page

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

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Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

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

Yale University

17 mi

Anesthesiology

50 DIVISION ST
New Haven, CT 06511

Reassigned Medicare billing, Connecticut enrollment
3,728 clinicians in this Medicare group

NPI 1205822236 (203) 785-2140

Connecticut Skinhealth LLP

27 mi

Specialist

4 CORPORATE DR, SUITE 386
Shelton, CT 06484

Reassigned Medicare billing, Connecticut enrollment
38 clinicians in this Medicare group

NPI 1649606385 (203) 538-5685

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Quality

75.84

Promoting Interoperability

Improvement Activities

Cost

51.43

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.

Which organizations bill Medicare for Lauren Provini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Provini reassigns Medicare benefits to 2 organizations: Yale University (New Haven, CT) and Connecticut Skinhealth LLP (Shelton, CT). 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 Provini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 2 months 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.