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DR. GAETON DON LORINO M.D.
NPI 1871553677
Internal Medicine - Pulmonary Disease in Opelika, AL

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
89.5/100
CMS Quality Rating
2412 VILLAGE PROFESSIONAL DR S, OPELIKA, AL 36801(334) 528-6670(334) 528-6671 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gaeton Don Lorino M.d. NPPES

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

DR. GAETON DON LORINO M.D. (NPI 1871553677) is an individual pulmonary disease provider in Opelika, Alabama, licensed in Alabama (7895) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Montgomery, and is a graduate of University Of South Alabama College Of Medicine (1976).

NPPES Registry Identity

NPI1871553677
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. GAETON DON LORINOCredential: M.D.
Location Address2412 VILLAGE PROFESSIONAL DR SOpelika, AL 36801-4742
Mailing Address2412 Village Professional Dr SOpelika, AL 36801-4742 · (334) 528-6670
Phone(334) 528-6670
Fax(334) 528-6671
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 1976
Enumeration DateMarch 24, 2006
Last NPPES UpdateSeptember 29, 2021
NPPES CertifiedSeptember 29, 2021
✔ NPI 1871553677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in AL · 7895
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

2412 VILLAGE PROFESSIONAL DR S, Opelika, AL 36801
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Secondary Practice Location 1

Location 11440 Narrow Lane PkwyMontgomery, AL 36111-2654 · Phone (334) 281-4140 · Fax (334) 281-4198

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.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

Dr. Gaeton Don Lorino M.d. 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 ID9739227489
PECOS Enrollment IDI20100125000015
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 11

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.
267 services179 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
96 services96 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
53 services52 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
52 services51 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services40 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36801 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

89.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.85
Improvement Activities40
Cost91.94

Referred Medical Equipment & Supplies CMS DME claims 19

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

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers12 claims23 services$1.53 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers67 claims67 services$87.25 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
9 suppliers66 claims181 services$32.91 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers29 claims162 services$17.56 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers12 claims69 services$14.53 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers42 claims42 services$54.33 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 2

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

MRS. BROOKE CAUSLAND CRNP
Nurse Practitioner
2412 VILLAGE PROFESSIONAL DR S
OPELIKA, AL 36801
Lee County (334) 528-6670
DR. MESHIA KERRY-ANN WALLACE MD
Internal Medicine (Pulmonary Disease)
2412 VILLAGE PROFESSIONAL DR S
OPELIKA, AL 36801
Lee County (334) 528-6670

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 Gaeton Lorino's NPI number?

The NPI number for Gaeton Lorino is 1871553677. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Gaeton Lorino located?

Gaeton Lorino practices at 2412 Village Professional Dr S, Opelika, AL 36801. The listed phone number is (334) 528-6670.

What is Gaeton Lorino's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Gaeton Lorino enrolled in Medicare?

Yes. Gaeton Lorino 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 Gaeton Lorino accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Gaeton Lorino 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 Gaeton Lorino was last updated on September 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.