LAUREN MARIE LILLY RADERSTORF (PA-C) – Physician Assistant, NPI 1497203178
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for LAUREN MARIE LILLY RADERSTORF (PA-C)
253 Sagamore Pkwy W
West Lafayette, IN 479061501
Phone: (765) 448-8100
Fax: (765) 448-7604
Type: Location
5165 McCarty Ln
Lafayette, IN 479058764
Phone: (800) 899-8448
Type: Location
1345 Unity Pl Ste 355
Lafayette, IN 479055761
Phone: (765) 807-7988
Fax: (765) 807-7989
Type: Location
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
PO BOX 4699
LAFAYETTE, IN 479034699
Phone: (765) 446-5417
Fax: (765) 446-5317
Type: Mailing
Unity Place, Lafayette, Tippecanoe County, Indiana, 47905, United States
LAFAYETTE, IN 479055761
Phone: (765) 807-7988
Fax: (765) 807-7989
Type: Location
996 S STATE ROAD 135
GREENWOOD, IN 461437365
Phone: (317) 893-3888
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2016-09-22
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 |
|---|---|---|---|---|
| I20160922002784 | I | Physician Assistant | IN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 84 | 82 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 39 | 39 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 47906)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | IN | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 36 | 35 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | KY | |
| Physician Assistant | IN | |
| Physician Assistant | MI | |
| Internal Medicine | IN | |
| Anesthesiology, Pain Management | TN | |
| Internal Medicine, Hospitalist | IN | |
| U R O L O G Y | NC | |
| Nurse Practitioner | IN |
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