DR. MICHELLE R LAFLAMME D.O.
NPI 1073513834
Emergency Medicine in Newburyport, MA
NPI Status: Active since July 22, 2005
Contact Information
25 HIGHLAND AVE
NEWBURYPORT, MA
ZIP 01950
Phone: (978) 463-1050
- Individual
- Female
- Emergency Medicine
- Accepts Insurance
- PECOS Enrolled
About MICHELLE LAFLAMME
This page provides the complete NPI Profile along with additional information for Michelle Laflamme, a provider established in Newburyport, Massachusetts with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1073513834 assigned on July 2005. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an individual and her NPI record was last updated 17 years ago.
- NPI
- 1073513834
- Provider Name
- DR. MICHELLE R LAFLAMME D.O.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 25 HIGHLAND AVE NEWBURYPORT, MA 01950
- Location Phone
- (978) 463-1050
- Mailing Address
- 3 BRICHER ST NEWBURYPORT, MA 01950
- Mailing Phone
- (978) 255-2485
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-22-2005
- Last Update Date
- 04-18-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- NC
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| D0619 | OTHER (01) | NC | MEDCOST # DR LAFLAMME |
| 134GH | OTHER (01) | NC | BCBS OF NC GROUP #015CK |
| J40481 | OTHER (01) | BCBS | |
| 2121956 | MEDICAID (05) | MA | |
| A40727 | MEDICARE PIN (08) | MA | |
| H55182 | MEDICARE UPIN (02) | NC | |
| 2401355A | MEDICARE ID-TYPE UNSPECIFIED (04) | NC | GROUP # 2336501 |
Medicare Participation & PECOS Enrollment Status
Michelle Laflamme is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 29 times for 28 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 24 times for 24 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 30 times for 30 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 28 times for 28 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 01950 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.7
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.67
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.48
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $25.87
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 7 | 3 | 5 | 1 | 3 | 8 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 10 | 1 | 6 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 1 + 0 + 1 + 6 + 8 + 6 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1073513834 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1215931167 | SHARMAN GINGRICH M.D. Individual | Internal Medicine (Geriatric Medicine) | 25 HIGHLAND AVE NEWBURYPORT, MA 01950 (978) 914-5189 |
| 1487651345 | ANDREY A FILIPPOV M.D. Individual | Anesthesiology | 25 HIGHLAND AVE NEWBURYPORT, MA 01950 (978) 463-1000 |
| 1922007921 | DR. MARK KATS MD Individual | Anesthesiology | 25 HIGHLAND AVE NEWBURYPORT, MA 01950 (978) 463-1000 |
| 1679572689 | DR. STEVEN F. PARKER MD Individual | Anesthesiology | 25 HIGHLAND AVE NEWBURYPORT, MA 01950 (978) 463-1000 |
| 1881664233 | NANCY T DUNN CRNA Individual | Nurse Anesthetist, Certified Registered | 25 HIGHLAND AVE NEWBURYPORT, MA 01950 (978) 463-1000 |
| 1992779482 | ANNA JAQUES HOSPITAL Organization | General Acute Care Hospital | 25 HIGHLAND AVE NEWBURYPORT, MA 01950 (978) 463-1000 |
| 1043286255 | DR. BETHANY A BISHOP DANIELS M.D. Individual | Emergency Medicine | 25 HIGHLAND AVE ANNA JAQUES HOSPITAL- EMERGENCY DEPT NEWBURYPORT, MA 01950 (978) 463-1050 |
| 1407825615 | JON JENKINS M.D. Individual | Emergency Medicine | 25 HIGHLAND AVE NEWBURYPORT, MA 01950 (978) 463-1050 |
| 1598734725 | MATTHEW COTE M.D. Individual | Emergency Medicine | 25 HIGHLAND AVE NEWBURYPORT, MA 01950 (978) 463-1050 |
| 1952360547 | RICHARD EDMUND ROSIN M.D. Individual | Radiology (Diagnostic Radiology) | 25 HIGHLAND AVE RADIOLOGY DEPARTMENT NEWBURYPORT, MA 01950 (978) 463-1120 |
| 1669432357 | GAIL DICKSON N.P. Individual | Nurse Practitioner | 25 HIGHLAND AVE NEWBURYPORT, MA 01950 (978) 463-1050 |
| 1518927201 | JOE DENNIS HULL M.D. Individual | Emergency Medicine | 25 HIGHLAND AVE NEWBURYPORT, MA 01950 (978) 463-1050 |
| 1003876707 | JOHN MCLAULIN M.D. Individual | Emergency Medicine | 25 HIGHLAND AVE NEWBURYPORT, MA 01950 (978) 463-1050 |
| 1356303820 | CHRISTINE LUPA WALLACE N.P. Individual | Nurse Practitioner | 25 HIGHLAND AVE NEWBURYPORT, MA 01950 (978) 463-1050 |
| 1396793139 | GREATER NEWBURYPORT EMERGENCY PHYSICIANS, INC. Organization | Emergency Medicine | 25 HIGHLAND AVE NEWBURYPORT, MA 01950 (978) 463-1050 |
| 1720031925 | PAMELA J SMITH MD Individual | Emergency Medicine | 25 HIGHLAND AVE NEWBURYPORT, MA 01950 (978) 463-1050 |
| 1417900424 | MERRIMACK VALLEY ANESTHESIA ASSOCIATES, PC Organization | Anesthesiology | 25 HIGHLAND AVE NEWBURYPORT, MA 01950 (978) 463-1000 |
| 1174561245 | DONNA J BREZINSKI M.D. Individual | Pediatrics | 25 HIGHLAND AVE NEWBURYPORT, MA 01950 (978) 463-1390 |
| 1760410682 | DAN H RICH MD Individual | Radiology (Diagnostic Radiology) | 25 HIGHLAND AVE RADIOLOGY DEPARTMENT NEWBURYPORT, MA 01950 (978) 463-1120 |
| 1831121144 | BRUCE E COOPER MD Individual | Radiology (Diagnostic Radiology) | 25 HIGHLAND AVE RADIOLOGY DEPARTMENT NEWBURYPORT, MA 01950 (978) 463-1120 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073513834, enumerated in the NPI registry as an "individual" on July 22, 2005
The provider is located at 25 Highland Ave Newburyport, Ma 01950 and the phone number is (978) 463-1050
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Molina Healthcare, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $90.7 with an average copayment of $22.67 for new patient appointments. Established patients should expect a typical charge of $103.48 and an average copayment of 25.87. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, New patient office or other outpatient visit, 30-44 minutes and New patient office or other outpatient visit, 45-59 minutes.
This NPI record was last updated on July 22, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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