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LAUREN CONCA M.D.
NPI 1962795104
Pediatrics in Dartmouth, MA

Active since May 20, 2011PECOS Enrolled
531 FAUNCE CORNER RD, DARTMOUTH, MA 02747(508) 996-3991 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lauren Conca M.d. NPPES

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

LAUREN CONCA M.D. (NPI 1962795104) is an individual pediatrics provider in Dartmouth, Massachusetts, licensed in Massachusetts (258987) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962795104
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLAUREN CONCACredential: M.D.
Location Address531 FAUNCE CORNER RDDartmouth, MA 02747-1242
Mailing Address531 Faunce Corner RdDartmouth, MA 02747-1242 · (508) 996-3991
Phone(508) 996-3991
Sole ProprietorNo
Enumeration DateMay 20, 2011
Last NPPES UpdateApril 24, 2023
NPPES CertifiedApril 24, 2023
✔ NPI 1962795104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 258987
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
531 FAUNCE CORNER RD, Dartmouth, MA 02747
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Other Names 1

Former Name (1)Lauren Hale Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren Conca M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lauren Conca reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Steward Medical Group, Inc
0.2 mi
Internal Medicine
535 FAUNCE CORNER RD
Dartmouth, MA 02747
  • Reassigned Medicare billing, Massachusetts enrollment
  • 241 clinicians in this Medicare group
NPI 1821349317 (617) 419-4700
Lifespan Physician Group Of Massachusetts Inc
21 mi
Family Medicine
2007 BAY ST
Taunton, MA 02780
  • Reassigned Medicare billing, Massachusetts enrollment
  • 547 clinicians in this Medicare group
NPI 1235957713 (774) 409-2009

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02747 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.
100%84 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%660 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
20%540 patients1/55-star benchmark: 88%
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.
99%611 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.
95%1,945 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
70%86 patients3/55-star benchmark: 97%
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 screenedForUse: 100% · 32 patients
94%32 patients4/55-star benchmark: 98%
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…
65%1,945 patients3/55-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…
11%1,945 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
17%1,945 patients
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.

MELISSA K BOTELHO P.N.P.
Nurse Practitioner (Pediatrics)
531 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
AUDREY LORRAINE HARRELL
Psychiatry & Neurology (Psychiatry)
531 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
MELISSA CLARKE FNP
Nurse Practitioner
531 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
ROSEMARIE N ZOLNIERZ PAC
Physician Assistant (Surgical)
531 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
SUSAN E VOGLER D.O.
Obstetrics & Gynecology
531 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
KAREN LYNNE REZENDES N.P.
Nurse Practitioner (Adult Health)
531 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991
KARMINA BAUTISTA MD
Internal Medicine
531 FAUNCE CORNER RD
N DARTMOUTH, MA 02747
Bristol County (508) 996-3991
DEBORAH D FRAINE OTR
Occupational Therapist (Hand)
531 FAUNCE CORNER RD
DARTMOUTH, MA 02747
Bristol County (508) 996-3991

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 Conca's NPI number?

The NPI number for Lauren Conca is 1962795104. It was assigned to this individual provider in the NPPES registry on May 20, 2011. The provider is also known as Lauren Hale MD.

Where is Lauren Conca located?

Lauren Conca practices at 531 Faunce Corner Rd, Dartmouth, MA 02747. The listed phone number is (508) 996-3991.

What is Lauren Conca's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lauren Conca enrolled in Medicare?

Yes. Lauren Conca is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lauren Conca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Conca reassigns Medicare benefits to 2 organizations: Steward Medical Group, Inc (Dartmouth, MA) and Lifespan Physician Group Of Massachusetts Inc (Taunton, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lauren Conca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Conca accept?

Health plans from Anthem Blue Cross and Blue Shield list Lauren Conca 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 Conca was last updated on April 24, 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.