KAREN LEIGH LAWES (MD) – Family Medicine Physician, NPI 1215919675
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
886 FAMILY PRACTICE in ME
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Provider Addresses for KAREN LEIGH LAWES (MD)
9, Pleasant Street, Oakland, Kennebec County, Maine, 04963, United States
OAKLAND, ME 049635074
Phone: (207) 465-2181
Fax: (207) 465-4629
Type: Mailing
52 COMMUNITY LN
SOUTH HERO, VT 054864418
Phone: (802) 372-4687
Type: Location
9 Pleasant St
Oakland, ME 049635074
Phone: (207) 465-2181
Fax: (207) 465-4629
Type: Location
789 Pine St
Burlington, VT 054014924
Phone: (802) 864-0693
Type: Location
617 Riverside Ave
Burlington, VT 054011601
Phone: (802) 864-6309
Type: Location
617 RIVERSIDE AVE
BURLINGTON, VT 054011601
Phone: (802) 864-6309
Type: Mailing
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: 2024-07-29
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 |
|---|---|---|---|---|
| I20240729003536 | I | Family Practice | VT | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 94 | 73 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 93 | 93 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 30 | 28 | $0 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 13 | 13 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 04963)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VT | |
| - | VT | |
| Nurse Practitioner | VT | |
| Nurse Practitioner | VT | |
| Clinical Social Worker | MA | |
| Physician Assistant | VT | |
| - | VT | |
| - | VT | |
| - | VT | |
| Physician Assistant | VT |
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