JACOB LAUER (MD) – Obstetrics & Gynecology Physician, NPI 1245525997

JACOB LAUER (MD) is a healthcare provider. based in Madison, Wisconsin. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 297343 (NY). The NPI Number for JACOB LAUER (MD) is 1245525997

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
JACOB LAUER (MD)
NPI
1245525997
Phone
(608) 242-6840
Address
4122 E TOWNE BLVD
Enumeration Date
10 June 2011
Last Update Date
15 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2011 (15 years ago)
PAC ID
6608189550
Group Practice PAC ID
8527972546
Professional Enrollment ID
I20190628000913
Address ID
NY100323720NE622XXSTXX400

Contacts

FHIR Endpoint
https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
FHIR Endpoint
https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
Secure Messaging
jal9217@direct.nyp.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

798 OBSTETRICS/GYNECOLOGY in WI

Provider Addresses for JACOB LAUER (MD)

  • 4122 E TOWNE BLVD

    MADISON, WI 537043732

    Phone: (608) 242-6840

    Fax: (608) 245-6117

    Type: Location

  • 7974 UW HEALTH CT

    MIDDLETON, WI 535625531

    Phone:

    Type: Mailing

  • 177 FT WASHINGTN AVE FL 4

    NEW YORK, NY 100323733

    Phone: (212) 305-1107

    Type: Location

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 $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-03-30 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-30

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: 2019-06-28

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
I20190628000913IObstetrics/GynecologyNYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53704)

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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: 8527972546View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for JACOB LAUER (MD)?
JACOB LAUER (MD) — NPI 1245525997 — is the standard way to identify this listing.
Is JACOB LAUER (MD) still practicing?
JACOB LAUER (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes JACOB LAUER (MD)?
For research purposes, treat JACOB LAUER (MD) as Obstetrics & Gynecology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JACOB LAUER (MD)?
JACOB LAUER (MD)'s geographic hint is Madison, Wisconsin in our summary view.
Why does JACOB LAUER (MD) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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