LAUREN ELIZABETH PRUNER (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1184091258

LAUREN ELIZABETH PRUNER (DPM) is a healthcare provider. based in Grapevine, Texas. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 3027 (TX). The NPI Number for LAUREN ELIZABETH PRUNER (DPM) is 1184091258

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
LAUREN ELIZABETH PRUNER (DPM)
NPI
1184091258
Phone
(817) 416-6155
Address
2421 IRA E WOODS AVE
Enumeration Date
25 August 2015
Last Update Date
24 June 2020

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8174166155
Graduation Year
2015 (11 years ago)
PAC ID
2163796418
Group Practice PAC ID
3375503022
Professional Enrollment ID
I20200629003495
Address ID
TX760513907GR2421XAVEX503
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,098 PODIATRY in TX

Provider Addresses for LAUREN ELIZABETH PRUNER (DPM)

  • 2421 IRA E WOODS AVE

    STE 100

    GRAPEVINE, TX 760513907

    Phone: (817) 416-6155

    Type: Mailing

  • 2421 IRA E WOODS AVE STE 100

    GRAPEVINE, TX 760513907

    Phone: (817) 416-6155

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $2,482.

Total Amount is formed as General ($2,482) + Research ($0) + Ownership ($0) = $2,482.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($1,501).

Total Amount

$2,482

General + Research + Ownership

Payments

41

Total payment records

General Amount

$2,482

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

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: 2020-06-29

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200629003495IPodiatryTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1,199318$0
73630X-ray of foot, minimum of 3 views214106$0
99203New patient office or other outpatient visit, 30-44 minutes108108$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg10233$0
11042Removal of skin and tissue, 20.0 sq cm or less3714$0
View full utilization report →

Insurance plans in this area (ZIP 76051)

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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: 3375503022View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for LAUREN ELIZABETH PRUNER (DPM)?
LAUREN ELIZABETH PRUNER (DPM) — NPI 1184091258 — is the standard way to identify this listing.
Does the file indicate LAUREN ELIZABETH PRUNER (DPM) is practicing under active NPI?
Directory data currently reports LAUREN ELIZABETH PRUNER (DPM) as active.
What is LAUREN ELIZABETH PRUNER (DPM)'s primary classification?
Foot & Ankle Surgery Podiatrist is the headline specialty for LAUREN ELIZABETH PRUNER (DPM) here. Clinical services aligned with this taxonomy classification.
What address line appears for LAUREN ELIZABETH PRUNER (DPM)?
LAUREN ELIZABETH PRUNER (DPM)'s geographic hint is Grapevine, Texas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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