Elyse Lawlor , PA-C
Physician Assistant โข Worcester, MA
55 Lake Ave N
Worcester, MA 016550002
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on September 19, 2014; this date does not establish years in practice.
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Published CMS data list 240 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 โ Established patient outpatient office visit: 185 service units.
- 99214 โ Established patient outpatient office visit: 23 service units.
- G2211 โ Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 16 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 4 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 162 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Dexamethasone โ 55 prescription fills, including refills.
- Abiraterone Acetate โ 36 prescription fills, including refills.
- Eliquis (Apixaban) โ 21 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 7 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Worcester, MA (2024, 226 clinicians with data). Median for this group: 174. Middle half: 98 to 364.
Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: 222. Middle half: 79 to 552.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 318 in 2020 to 240 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
55 Lake Ave N
Worcester, MA 016550002
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Marlborough, MA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Umass Memorial Medical Group Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2007
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
143 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $13,642 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $8,888 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
201 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$147,770 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $12.14 in 2022
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2022.
Years since graduation
19 years (graduated 2007)
CMS Doctors and Clinicians data list 2007 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2014
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Elyse Lawlor has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Elyse Lawlor as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Worcester and Massachusetts
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Worcester, MA (2024, 226 clinicians with data). Median for this group: 174. Middle half: 98 to 364.
Close to the middle for clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: 222. Middle half: 79 to 552.
Medicare-allowed amount
Close to the middle for clinicians listed under Physician Assistant in Worcester, MA (2024, 226 clinicians with data). Median for this group: $15,866. Middle half: $8,187 to $28,338.
Close to the middle for clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: $19,073. Middle half: $6,686 to $39,911.
Paid by Medicare
A lower Medicare payment amount than 65% of clinicians listed under Physician Assistant in Worcester, MA (2024, 226 clinicians with data). Median for this group: $11,961. Middle half: $6,077 to $21,469.
A lower Medicare payment amount than 60% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: $14,188. Middle half: $5,025 to $29,930.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Physician Assistant in Worcester, MA (2024, 188 clinicians with data). Median for this group: 144. Middle half: 48 to 542.
Close to the middle for clinicians listed under Physician Assistant in Massachusetts (2024, 2,255 clinicians with data). Median for this group: 175. Middle half: 52 to 564.
Part D drug cost
A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Worcester, MA (2024, 188 clinicians with data). Median for this group: $2,295. Middle half: $439 to $27,727.
A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,255 clinicians with data). Median for this group: $2,484. Middle half: $458 to $50,541.
425 active clinicians are listed under Physician Assistant with a practice address in Worcester, MA (4,715 in Massachusetts).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Worcester
15.8% of these 425 clinicians have the CMS telehealth indicator.
69.4% of these 425 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 25% from 318 in 2020 to 240 in 2024.
- 2020: 318
- 2021: 405
- 2022: 325
- 2023: 484
- 2024: 240
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Medicare-allowed amount
Medicare-allowed amount varied from year to year: $13,400 in 2020 and $13,642 in 2024.
- 2020: $13,400
- 2021: $25,618
- 2022: $20,040
- 2023: $33,856
- 2024: $13,642
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Paid by Medicare
Paid by Medicare varied from year to year: $9,723 in 2020 and $8,888 in 2024.
- 2020: $9,723
- 2021: $18,687
- 2022: $15,191
- 2023: $25,349
- 2024: $8,888
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 56% from 104 in 2020 to 162 in 2024.
- 2020: 104
- 2021: 126
- 2022: 110
- 2023: 209
- 2024: 162
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30-day fills
30-day fills increased 41% from 143 in 2020 to 201 in 2024.
- 2020: 143
- 2021: 154
- 2022: 142
- 2023: 255
- 2024: 201
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Part D drug cost
Part D drug cost increased 6526% from $2,230 in 2020 to $147,770 in 2024.
- 2020: $2,230
- 2021: $50,043
- 2022: $43,513
- 2023: $326,000
- 2024: $147,770
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $53.93 in 2021 to $12.14 in 2022.
- 2021: $53.93
- 2022: $12.14
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2022 (payments made January 1 โ December 31, 2022): fewer than 11 records totaling $12.14.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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XARELTO | General | $12.14 |
Source: CMS Open Payments, program year 2022, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2018โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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185 | 111 | $221.43 | $60.31 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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23 | 17 | $371.52 | $87.55 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
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16 | 15 | $47.00 | $14.31 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
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16 | 16 | $47.00 | $15.14 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Dexamethasone | Dexamethasone | 55 | 298 | $118.72 | 16 |
| Abiraterone Acetate | Abiraterone Acetate | 36 | 1,080 | $135,029.95 | โ |
| Eliquis | Apixaban | 21 | 628 | $12,295.87 | โ |
| Prednisone | Prednisone | 14 | 1,230 | $103.39 | โ |
| Omeprazole | Omeprazole | 13 | 390 | $53.73 | โ |
| Tamsulosin Hcl | Tamsulosin Hcl | 12 | 720 | $102.23 | โ |
| Gabapentin | Gabapentin | 11 | 330 | $65.86 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-01-16NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20180702002120
NJ
8325366024
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Umass Memorial Medical Group Inc
55 Lake Ave N, Worcester, MA 016550002
Phone: 5083341000
Umass Memorial Medical Group Inc
157 Union St, Marlborough, MA 017521228
Phone: 5084865521
Umass Memorial Medical Group Inc
155 Union St, Marlborough, MA 017521228
Phone: 5084817390
Secondary Practice Locations
157 Union St
Marlborough, MA 017521228
Phone: 5084866700
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Acute Care
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner
Family Nurse Practitioner
Internal Medicine - Hematology & Oncology
Doctor of Medicine (M.D.)
Psychiatry & Neurology - Neurology
Doctor of Medicine (M.D.)
Nurse Practitioner
Advanced Practice Registered Nurse
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083343550)
Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)
Registered at 75 FRANCIS ST, TR544, BOSTON, MA 02115 (Tel: 6176324524)
Registered at 718 TEANECK RD, TEANECK, NJ 076664245 (Tel: 2018333000)
Recorded as ELYSE LAWLOR, PA-C
NPI status registered as active in NPPES database
Registered at 75 FRANCIS ST, TR544, BOSTON, MA 021156110 (Tel: 6176324524)
Registered at 450 BROOKLINE AVE, DF1B12, BOSTON, MA 022155418
Recorded as ELYSE SULLIVAN, PA-C
Physician Assistant (license number reported to NPPES: MA PA5147)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Worcester
- Daniel Jancura, PA-C
- Patrick Bafuma, PA-C
- Nicholas Cookson, PA-C
- Wendy Folger, PA-C
- Mariessa Ricciardi, PA-C
- Wynford Brome, PHYSICIAN ASSISTANT
Mailing Address
Po Box 415348
Boston, MA 022415348
Phone: 8002258885