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LAUREN C MERCER MD
NPI 1922261874
Psychiatry & Neurology - Psychiatry in Hamden, CT

Active since July 09, 2008PECOS EnrolledAccepts Medicare Assignment
94.17/100
CMS Quality Rating
60 WASHINGTON AVE, SUITE 203, HAMDEN, CT 06518(203) 288-0414(203) 288-3655 Get Directions Write a Review

NPPES record last updated: April 9, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lauren C Mercer Md NPPES

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

LAUREN C MERCER MD (NPI 1922261874) is an individual psychiatry provider in Hamden, Connecticut, licensed in Connecticut (52499) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1922261874
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameLAUREN C MERCERCredential: MD
Location Address60 WASHINGTON AVE, SUITE 203Hamden, CT 06518-3271
Mailing Address60 Washington Ave, Suite 203Hamden, CT 06518-3271 · (203) 288-0414 · Fax (203) 288-3655
Phone(203) 288-0414
Fax(203) 288-3655
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 9, 2008
Last NPPES UpdateApril 9, 2015
✔ NPI 1922261874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CT · 52499
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License 52499 (CT)
60 WASHINGTON AVE, Hamden, CT 06518
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Lauren C Mercer 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 ID9638304819
PECOS Enrollment IDI20131023001704
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, 20-29 minutes 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.
1,059 services244 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
934 services231 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
163 services46 patients
New patient office or other outpatient visit, 60-74 minutes 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.
49 services49 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
46 services36 patients
Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes 99335
This refers to a routine medical visit for an established patient living in a group care facility, custodial care, or assisted living. The visit typically lasts 25 minutes and includes a check-up and discussion about ongoing healthcare needs.
44 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06518 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
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.

94.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.94
Promoting Interoperability99.39
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
95%652 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
80%214 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%138 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
94%305 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 32% · 160 patients
37%160 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
80%305 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%305 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 3% · 214 patients
3%214 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

JOAN K DREYFUS APRN
Registered Nurse (Psychiatric/Mental Health, Adult)
60 WASHINGTON AVE, SUITE 102
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 407-6400
DOUGLAS A BERV MD
Psychiatry & Neurology (Psychiatry)
60 WASHINGTON AVE, SUITE 102
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 407-6400
FARZANA BEGUM MD
Psychiatry & Neurology (Psychiatry)
60 WASHINGTON AVE, SUITE 304
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 281-2890
MICHAEL B VOLLMAR MD
Psychiatry & Neurology (Psychiatry)
60 WASHINGTON AVE, SUITE 304
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 281-2890
MIMI MAH MD
Psychiatry & Neurology (Psychiatry)
60 WASHINGTON AVE, SUITE 304
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 281-2890
DANIEL C MOORE MD
Psychiatry & Neurology (Psychiatry)
60 WASHINGTON AVE, SUITE 304
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 281-2890
ROBERT B OSTROFF MD
Psychiatry & Neurology (Psychiatry)
60 WASHINGTON AVE, SUITE 304
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 281-2890
CATHERINE M LINTON LCSW
Social Worker (Clinical)
60 WASHINGTON AVE, SUITE 304
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 281-2890

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 Mercer's NPI number?

The NPI number for Lauren Mercer is 1922261874. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Lauren Mercer located?

Lauren Mercer practices at 60 Washington Ave Suite 203, Hamden, CT 06518. The listed phone number is (203) 288-0414.

What is Lauren Mercer's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Lauren Mercer enrolled in Medicare?

Yes. Lauren Mercer 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 Lauren Mercer accept?

Health plans from Providence Health Plan list Lauren Mercer 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 Lauren Mercer was last updated on April 9, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.