Lauren Macchio, PA-C
NPI 1235707514 · Physician Assistant · Warwick, RI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lauren Macchio, PA-C is a Physician Assistant provider in Warwick, RI (NPI 1235707514).
Provider details
- NPI number
- 1235707514
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA01366 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
5 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
131 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 78 | $78 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 32 | $105 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 21 | $93 |
Typical Medicare-allowed amounts for these services range $78–$105 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone Propionate | 46 | 37 |
| Mupirocin | 16 | 16 |
| Azelastine Hcl | 15 | 12 |
| Neomycin/Polymyxin B/Hydrocortbrand: Neomycin-Polymyxin-Hc | 12 | — |
| Oxycodone Hcl | 11 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$360 across 11 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (4)
- 400 Warren Ave Fl 2East Providence, RI 02914-3826Phone: (401) 435-5644Fax: (401) 921-5826
- 593 Eddy StProvidence, RI 02903-4923Phone: (401) 444-4000
- 101 Dudley StProvidence, RI 02905-2401Phone: (401) 453-7950Fax: (401) 453-7658
- 455 Toll Gate RdWarwick, RI 02886-2759Phone: (401) 737-7010Fax: (401) 736-4546
Registry dates
- Enumerated
- 2021-06-14
- Last updated
- 2024-08-08
- Certified
- 2024-08-08
Frequently asked questions
- What is Lauren Macchio's NPI number?
- Lauren Macchio's National Provider Identifier (NPI) is 1235707514, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lauren Macchio's specialty?
- Lauren Macchio is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lauren Macchio located?
- Lauren Macchio's practice location on file with NPPES is 3520 Post Rd, Warwick, RI 02886-7140.
- What is Lauren Macchio's phone number?
- The practice phone number listed in the NPPES registry for Lauren Macchio is (401) 921-5800.
- Does Lauren Macchio accept Medicare?
- Lauren Macchio is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lauren Macchio's NPI active?
- Yes — Lauren Macchio's NPI (1235707514) is active in the NPPES registry as of the last update on 2024-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.