LAUREL A RUZICKA (MD) – Family Medicine Physician, NPI 1376544619

LAUREL A RUZICKA (MD) is a healthcare provider. based in Lawrence, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 157315 (MA). The NPI Number for LAUREL A RUZICKA (MD) is 1376544619

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
LAUREL A RUZICKA (MD)
NPI
1376544619
Phone
(978) 685-1770
Address
150 PARK ST
Enumeration Date
9 August 2005
Last Update Date
30 November 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
9786851770
Graduation Year
1995 (31 years ago)
PAC ID
4082673793
Group Practice PAC ID
0446221956
Professional Enrollment ID
I20041007000589
Address ID
MA018412517LA150XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,899 FAMILY PRACTICE in MA

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Provider Addresses for LAUREL A RUZICKA (MD)

  • 150, Park Street, Gouverneur, Saint Lawrence County, New York, 13642, United States

    LAWRENCE, MA 018412517

    Phone: (978) 685-1770

    Fax: (978) 682-5787

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2023-09-27 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-10-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041007000589IFamily PracticeMATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83037Hemoglobin a1c level, by device for home use1711$0
View full utilization report →

Insurance plans in this area (ZIP 01841)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446221956View full group profile
NameSpecialtyState
Registered Dietitian Or Nutrition ProfessionalMA
Family PracticeMA
Family Practice, Sports MedicineMA
Internal MedicineMA
Family PracticeMA
Clinical Social WorkerMA
Registered Dietitian Or Nutrition ProfessionalMA
Family PracticeMA
Family PracticeMA
Family PracticeMA

Reviews

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Frequently asked questions

What number should I use to identify LAUREL A RUZICKA (MD) for billing?
Administrative and clinical systems typically use NPI 1376544619 for LAUREL A RUZICKA (MD).
Is LAUREL A RUZICKA (MD) currently accepting referrals based on NPI status?
Registry metadata lists LAUREL A RUZICKA (MD) as active.
How should patients interpret LAUREL A RUZICKA (MD)'s specialty?
The extract shows Family Medicine Physician for LAUREL A RUZICKA (MD). Clinical services aligned with this taxonomy classification.
Is LAUREL A RUZICKA (MD) tied to Lawrence, Massachusetts?
If you are local to Lawrence, Massachusetts, LAUREL A RUZICKA (MD) may be relevant to your search.
Why is information missing for LAUREL A RUZICKA (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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