AUTUMN LAZARO (PA-C) – Physician Assistant, NPI 1588223754
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,244 PHYSICIAN ASSISTANT in CT
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Provider Addresses for AUTUMN LAZARO (PA-C)
1419 BIGELOW CMNS
ENFIELD, CT 060823349
Phone: (609) 712-0449
Type: Mailing
175, Webster Square Road, Berlin, Hartford County, Connecticut, 06037, United States
BERLIN, CT 060372328
Phone: (860) 420-3660
Type: Location
175 Webster Square Rd
Berlin, CT 060372328
Phone: (860) 420-3660
Type: Location
200 Center St
Ludlow, MA 010562772
Phone: (413) 589-7176
Fax: (413) 589-7710
Type: Location
2032 S 17TH ST STE 101
WILMINGTON, NC 284016678
Phone: (910) 763-3738
Fax: (910) 763-0454
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 136 Open Payments records for all available years, with a total value of $2,277.
Total Amount is formed as General ($2,277) + Research ($0) + Ownership ($0) = $2,277.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novo Nordisk Inc ($545).
Total Amount
$2,277
General + Research + Ownership
Payments
136
Total payment records
General Amount
$2,277
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $545 |
| PFIZER INC. | $152 |
| ABBVIE INC. | $151 |
| GlaxoSmithKline, LLC. | $131 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $94 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-05-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220510002730 | I | Physician Assistant | NC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06082)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NC | |
| - | NC | |
| Physician Assistant | NC | |
| Physician Assistant | MN | |
| Nurse Practitioner | NC | |
| Physician Assistant | NC | |
| Nurse Practitioner | NC | |
| Physician Assistant | NC | |
| Physician Assistant | NC | |
| Physician Assistant | NC |
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