Laurence Bailen, M.D.
NPI 1922078930 · Hepatology Physician · Newton, MA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Laurence Bailen, M.D. is a Hepatology Physician provider in Newton, MA (NPI 1922078930).
Provider details
- NPI number
- 1922078930
- Entity type
- Individual
- Primary specialty
- Hepatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 81467 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,422 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 423 | $139 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 223 | $259 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 157 | $101 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 115 | $144 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 98 | $181 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 30 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 258 | 88 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 201 | 201 |
| Pantoprazole Sodium | 112 | 34 |
| Linaclotidebrand: Linzess | 85 | 14 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-C | 83 | 38 |
| Mesalaminebrand: Mesalamine Er | 65 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$56 across 2 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
Registry dates
- Enumerated
- 2006-01-23
- Last updated
- 2025-09-11
Frequently asked questions
- What is Laurence Bailen's NPI number?
- Laurence Bailen's National Provider Identifier (NPI) is 1922078930, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Laurence Bailen's specialty?
- Laurence Bailen is listed in the NPPES registry with a primary specialty of Hepatology Physician (Allopathic & Osteopathic Physicians).
- Where is Laurence Bailen located?
- Laurence Bailen's practice location on file with NPPES is 2000 Washington St, Newton, MA 02462-1650.
- What is Laurence Bailen's phone number?
- The practice phone number listed in the NPPES registry for Laurence Bailen is (617) 969-1227.
- Does Laurence Bailen accept Medicare?
- Laurence Bailen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Laurence Bailen's NPI active?
- Yes — Laurence Bailen's NPI (1922078930) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.