DR. CARMEN A LAFIA MD
NPI 1902165731
Obstetrics & Gynecology in Roseville, MI

Active since May 14, 2012PECOS EnrolledAccepts Medicare Assignment
96.78/100
CMS Quality Rating
29751 LITTLE MACK AVE STE B, ROSEVILLE, MI 48066(586) 415-6200(586) 415-6217 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2022, Oct 25, 2016, Oct 18, 2016 (3 updates tracked since 2016).

About Dr. Carmen A Lafia Md NPPES

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

DR. CARMEN A LAFIA MD (NPI 1902165731) is an individual obstetrics & gynecology provider in Roseville, Michigan, licensed in Michigan (207V00000X) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and maintains a secondary practice location in Grosse Pointe.

NPPES Registry Identity

NPI1902165731
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. CARMEN A LAFIACredential: MD
Location Address29751 LITTLE MACK AVE STE BRoseville, MI 48066-6504
Mailing Address29751 Little Mack Ave Ste BRoseville, MI 48066-6504 · (586) 415-6200 · Fax (586) 415-6217
Fax(586) 415-6217
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2012
Enumeration DateMay 14, 2012
Last NPPES UpdateJuly 20, 20223 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
NPI 1902165731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MI · 207V00000X
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.
29751 LITTLE MACK AVE STE B, Roseville, MI 48066

Secondary Practice Location 1

Location 1468 Cadieux RdGrosse Pointe, MI 48230-1507 · Phone (313) 473-1000

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

Dr. Carmen A Lafia 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 ID2668605304
PECOS Enrollment IDI20170104001783
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 7

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
36 services36 patients
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.
31 services30 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
27 services27 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.
18 services12 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
15 services15 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension Providence Rochester Hospital

Acute Care Hospitals · Rochester, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230254
Location1101 W University DriveRochester, MI 48307 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48066 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

96.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.21
Improvement Activities40

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.

Obstetrics & Gynecology
29751 LITTLE MACK AVE STE B
ROSEVILLE, MI 48066
Obstetrics & Gynecology
29751 LITTLE MACK AVE STE B
ROSEVILLE, MI 48066
Obstetrics & Gynecology (Obstetrics)
29751 LITTLE MACK AVE STE B
ROSEVILLE, MI 48066
Obstetrics & Gynecology
29751 LITTLE MACK AVE STE B
ROSEVILLE, MI 48066
Obstetrics & Gynecology
29751 LITTLE MACK AVE STE B
ROSEVILLE, MI 48066
Obstetrics & Gynecology
29751 LITTLE MACK AVE STE B
ROSEVILLE, MI 48066
Obstetrics & Gynecology
29751 LITTLE MACK AVE STE B
ROSEVILLE, MI 48066

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 Carmen Lafia's NPI number?

The NPI number for Carmen Lafia is 1902165731. It was assigned to this individual provider in the NPPES registry on May 14, 2012.

Where is Carmen Lafia located?

Carmen Lafia practices at 29751 Little Mack Ave Ste B, Roseville, MI 48066. The listed phone number is (586) 415-6200.

What is Carmen Lafia's specialty?

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

Is Carmen Lafia enrolled in Medicare?

Yes. Carmen Lafia 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 Carmen Lafia accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Carmen Lafia 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 Carmen Lafia affiliated with any hospitals?

According to CMS data, Carmen Lafia is affiliated with Beaumont Hospital - Grosse Pointe, Ascension St John Hospital and Ascension Providence Rochester Hospital.

When was this NPI record last updated?

The NPPES record for Carmen Lafia was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.