CARL LAUTER
NPI 1861452567
Allergy & Immunology in Royal Oak, MI

Active since March 25, 2006PECOS EnrolledAccepts Medicare Assignment
80.99/100
CMS Quality Rating
3535 W 13 MILE RD STE 605, ROYAL OAK, MI 48073(248) 551-0495 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carl Lauter NPPES

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

CARL LAUTER (NPI 1861452567) is an individual allergy & immunology provider in Royal Oak, Michigan, licensed in Michigan (4301027068) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and maintains a secondary practice location in Royal Oak.

NPPES Registry Identity

NPI1861452567
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameCARL LAUTER
Location Address3535 W 13 MILE RD STE 605Royal Oak, MI 48073-6770
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1965
Enumeration DateMarch 25, 2006
Last NPPES UpdateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
NPI 1861452567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License Licensed in MI · 4301027068
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301027068 (MI)
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 4301027068 (MI)
3535 W 13 MILE RD STE 605, Royal Oak, MI 48073

Secondary Practice Location 1

Location 13601 W 13 Mile RdRoyal Oak, MI 48073-6712 · Phone (248) 898-5000

Other Identifiers 2

Medicaid1342253MI
Other440F361390MI · Bcbsm

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

Carl Lauter 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 ID6406998228
PECOS Enrollment IDI20100116000190
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.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
42 services41 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
38 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services15 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

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.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.25
Promoting Interoperability100
Improvement Activities40
Cost59.73

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers21 claims84 services$18.84 avg. paid by Medicare
Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater E0779
DME-Other DME · category DE000N
2 suppliers14 claims14 services$13.00 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers46 claims14,540 services$9.51 avg. paid by Medicare
Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg J1561
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier45 claims2,730 services$35.19 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
3 suppliers55 claims216 services$2.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Infectious Disease)
3535 W 13 MILE RD STE 605
ROYAL OAK, MI 48073
Internal Medicine (Infectious Disease)
3535 W 13 MILE RD STE 605
ROYAL OAK, MI 48073
Internal Medicine (Infectious Disease)
3535 W 13 MILE RD STE 605
ROYAL OAK, MI 48073
Internal Medicine (Infectious Disease)
3535 W 13 MILE RD STE 605
ROYAL OAK, MI 48073
Internal Medicine (Infectious Disease)
3535 W 13 MILE RD STE 605
ROYAL OAK, MI 48073
Internal Medicine (Infectious Disease)
3535 W 13 MILE RD STE 605
ROYAL OAK, MI 48073
Internal Medicine (Infectious Disease)
3535 W 13 MILE RD STE 605
ROYAL OAK, MI 48073

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 Carl Lauter's NPI number?

The NPI number for Carl Lauter is 1861452567. It was assigned to this individual provider in the NPPES registry on March 25, 2006.

Where is Carl Lauter located?

Carl Lauter practices at 3535 W 13 Mile Rd Ste 605, Royal Oak, MI 48073. The listed phone number is (248) 551-0495.

What is Carl Lauter's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Carl Lauter enrolled in Medicare?

Yes. Carl Lauter 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 Carl Lauter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Carl Lauter 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 Carl Lauter affiliated with any hospitals?

According to CMS data, Carl Lauter is affiliated with Beaumont Hospital Royal Oak and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Carl Lauter was last updated on August 2, 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.