DR. KENNETH GAYLE LAWLOR DO
NPI 1902917289
Internal Medicine - Rheumatology in Prescott, AZ

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3111 CLEARWATER DR STE A, PRESCOTT, AZ 86305(480) 443-8400(480) 443-8697 Get Directions Write a Review

NPPES record last updated: April 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kenneth Gayle Lawlor Do NPPES

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

DR. KENNETH GAYLE LAWLOR DO (NPI 1902917289) is an individual rheumatology provider in Prescott, Arizona, licensed in Arizona (5487) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Kansas City College Of Medicine And Surgery (2005).

NPPES Registry Identity

NPI1902917289
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. KENNETH GAYLE LAWLORCredential: DO
Location Address3111 CLEARWATER DR STE APrescott, AZ 86305-7186
Mailing Address4550 E Bell Rd, Suite 172Phoenix, AZ 85032-9306 · (480) 443-8400 · Fax (480) 443-8697
Fax(480) 443-8697
Sole ProprietorNo
Medical School CMSKansas City College Of Medicine And SurgeryGraduated 2005
Enumeration DateAugust 31, 2006
Last NPPES UpdateApril 18, 2016
NPI 1902917289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses Licensed in AZ · 5487 Licensed in MO · 2007015085
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
3111 CLEARWATER DR STE A, Prescott, AZ 86305

Other Identifiers 2

Medicaid546714AZ
Other1801100250AZ · Group National Provider Identifier

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. Kenneth Gayle Lawlor Do 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 ID1456448067
PECOS Enrollment IDI20101202000114
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 20

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.

Injection, tocilizumab, 1 mg J3262
Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.
54,400 services13 patients
Injection, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
46,040 services58 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
27,975 services45 patients
Injection, infliximab, excludes biosimilar, 10 mg J1745
Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.
5,610 services25 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.
2,453 services879 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
978 services168 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86305 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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 Kenneth Lawlor's NPI number?

The NPI number for Kenneth Lawlor is 1902917289. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Kenneth Lawlor located?

Kenneth Lawlor practices at 3111 Clearwater Dr Ste A, Prescott, AZ 86305. The listed phone number is (480) 443-8400.

What is Kenneth Lawlor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Kenneth Lawlor enrolled in Medicare?

Yes. Kenneth Lawlor 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 Kenneth Lawlor accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Kenneth Lawlor 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 Kenneth Lawlor was last updated on April 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.