LAINA E CROWTHERS MD
NPI 1215953716
Obstetrics & Gynecology in Providence, RI
NPI Status: Active since July 15, 2006
Contact Information
695 EDDY ST
SUITE 21
PROVIDENCE, RI
ZIP 02903
Phone: (401) 272-1550
Fax: (401) 421-8792
- Individual
- Female
- Obstetrics & Gynecology
- PECOS Enrolled
- Medicare Quality Reporting
About LAINA CROWTHERS
This page provides the complete NPI Profile along with additional information for Laina Crowthers, a women's health care provider established in Providence, Rhode Island with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1215953716 assigned on July 2006. The practitioner's primary taxonomy code is 207V00000X with license number MD11231 (RI). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1215953716
- Provider Name
- LAINA E CROWTHERS MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 695 EDDY ST SUITE 21 PROVIDENCE, RI 02903
- Location Phone
- (401) 272-1550
- Location Fax
- (401) 421-8792
- Mailing Address
- 695 EDDY ST SUITE 21 PROVIDENCE, RI 02903
- Mailing Phone
- (401) 272-1550
- Mailing Fax
- (401) 421-8792
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-15-2006
- Last Update Date
- 03-31-2021
- Code Navigator
Women's health care providers like Laina Crowthers treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
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
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD11231
- License State
- RI
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Medicare Participation & PECOS Enrollment Status
Laina Crowthers 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
Physician 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 02903 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $134.17
- Minimum New Patient Price $58.57
- Maximum New Patient Price $177.03
- Average New Patient Copayment $33.54
- Minimum New Patient Copayment $14.64
- Maximum New Patient Copayment $44.25
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.93
- Minimum Established Patient Price $18.92
- Maximum Established Patient Price $144.38
- Average Established Patient Copayment $18.23
- Minimum Established Patient Copayment $4.73
- Maximum Established Patient Copayment $36.09
* 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.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 94% | 847 |
| Cervical Cancer Screening | 96% | 1757 |
| e-Prescribing | 98% | 741 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 35% | 2058 |
| Preventive Care and Screening: Influenza Immunization | 1% | 1049 |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 38% | 2505 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 22% | 72 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 70% | 2051 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 67% | 2051 |
| Provide Patients Electronic Access to Their Health Information | 94% | 841 |
Reviews for LAINA E CROWTHERS MD
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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 | 2 | 1 | 5 | 9 | 5 | 3 | 7 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 18 | 5 | 6 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 1 + 8 + 5 + 6 + 7 + 2 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1215953716 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1053331165 | JOSPEH D DIZOGLIO MD Individual | Obstetrics & Gynecology | 695 EDDY ST SUITE 21 PROVIDENCE, RI 02903 (401) 272-1550 |
| 1720202716 | ROGER J FERLAND, M.D., P.C. Organization | Obstetrics & Gynecology (Hospice and Palliative Medicine) | 695 EDDY ST 22 PROVIDENCE, RI 02903 (401) 331-0669 |
| 1184834731 | ANN HOLDREDGE CNP Individual | Nurse Practitioner (Women's Health) | 695 EDDY ST SUITE 21 PROVIDENCE, RI 02903 (401) 272-1550 |
| 1013127703 | MRS. CAROLYN V HOPKINS CNP Individual | Nurse Practitioner (Women's Health) | 695 EDDY ST SUITE 21 PROVIDENCE, RI 02903 (401) 272-1550 |
| 1427441344 | SOUTHERN NEW ENGLAND HEALTHCARE FOR WOMEN Organization | Obstetrics & Gynecology | 695 EDDY ST SUITE 21 PROVIDENCE, RI 02903 (401) 272-1550 |
| 1114045697 | M. DAVID BEITLE, M.D., INC Organization | Obstetrics & Gynecology | 695 EDDY ST PROVIDENCE, RI 02903 (401) 274-1533 |
| 1831315548 | BROADWAY OB GYN LLP Organization | Obstetrics & Gynecology | 695 EDDY ST SUITE 21 PROVIDENCE, RI 02903 (401) 272-1550 |
| 1467479543 | MICHELE GANGE MD Individual | Obstetrics & Gynecology | 695 EDDY ST SUITE 21 PROVIDENCE, RI 02903 (401) 272-1550 |
| 1356361927 | FRED BROSCO MD Individual | Obstetrics & Gynecology | 695 EDDY ST SUITE 21 PROVIDENCE, RI 02903 (401) 272-1550 |
| 1003836008 | DONALD RAMOS MD Individual | Obstetrics & Gynecology | 695 EDDY ST PROVIDENCE, RI 02903 (401) 272-1550 |
| 1760405450 | FRANK PENSA MD Individual | Obstetrics & Gynecology | 695 EDDY ST SUITE 21 PROVIDENCE, RI 02903 (401) 272-1550 |
| 1558581165 | DR. BEATA ELZBIETA DIZOGLIO M.D. Individual | Obstetrics & Gynecology | 695 EDDY ST SUITE 21 PROVIDENCE, RI 02903 (401) 272-1550 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215953716, enumerated in the NPI registry as an "individual" on July 15, 2006
The provider is located at 695 Eddy St Suite 21 Providence, Ri 02903 and the phone number is (401) 272-1550
The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X
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.
The provider obtained a high score in the following performance measures: Breast Cancer Screening, Cervical Cancer Screening, e-Prescribing , Provide Patients Electronic Access to Their Health Information. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.
Medicare beneficiaries should expect a typical cost of $134.17 with an average copayment of $33.54 for new patient appointments. Established patients should expect a typical charge of $72.93 and an average copayment of 18.23. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 15, 2006. 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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