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Dr. Lawrence Thomas Mollo , MD

Pediatrics โ€ข Champlin, MN

Active NPI 1508122334 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

12142 Business Park Blvd N
Champlin, MN 553164525

Call 9529770500 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12142 Business Park Blvd N

Champlin, MN 553164525

Telephone 9529770500
Organization at the Same NPPES Address or Phone
Loyola University Medical Center Facility NPI 1023296357

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Maywood, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Park Nicollet Clinic. 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

Graduation Year

2012

Medicare patients

103 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $22,072 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.

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 $17,753 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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

5,938 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

$218,851 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

14 years (graduated 2012)

CMS Doctors and Clinicians data list 2012 as the year this clinician finished professional 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

2012

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.

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Mollo 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Mollo 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Champlin and Minnesota

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Pediatrics in Minnesota (2024, 50 clinicians with data). Median for this group: 285. Middle half: 145 to 704.

Too few clinicians listed under Pediatrics in Champlin have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Pediatrics in Minnesota (2024, 50 clinicians with data). Median for this group: $22,709. Middle half: $10,608 to $32,408.

Too few clinicians listed under Pediatrics in Champlin have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Pediatrics in Minnesota (2024, 50 clinicians with data). Median for this group: $17,270. Middle half: $8,816 to $27,802.

Too few clinicians listed under Pediatrics in Champlin have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 75% of clinicians listed under Pediatrics in Minnesota (2024, 45 clinicians with data). Median for this group: 542. Middle half: 52 to 2,507.

Too few clinicians listed under Pediatrics in Champlin have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 65% of clinicians listed under Pediatrics in Minnesota (2024, 45 clinicians with data). Median for this group: $78,257. Middle half: $11,098 to $242,498.

Too few clinicians listed under Pediatrics in Champlin have Medicare Part D data for 2024 to compare.

5 active clinicians are listed under Pediatrics with a practice address in Champlin, MN (1,292 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ€“2023 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, 2018โ€“2024; 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
36415 Insertion of needle into vein for collection of blood sample
82 52 $21.50 $8.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
71 57 $478.00 $122.60
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
50 37 $338.00 $88.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
37 37 $484.00 $119.06
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
22 16 $62.00 $15.71
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test
17 16 $25.90 $6.34
90480 Admn sarscov2 vacc 1 dose
17 15 $45.00 $41.80
91320 Sarscv2 vac 30mcg trs-suc im
17 15 $195.00 $139.92
G0008 Administration of influenza virus vaccine
11 11 $31.00 $30.38

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.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 271 19,991 $3,442.13 76
Amlodipine Besylate Amlodipine Besylate 201 15,549 $1,779.00 57
Omeprazole Omeprazole 143 9,707 $2,007.94 40
Lisinopril Lisinopril 132 10,162 $1,815.29 37
Losartan Potassium Losartan Potassium 127 8,951 $1,549.48 31
Metformin Hcl Er Metformin Hcl 104 7,200 $1,665.54 29
Rosuvastatin Calcium Rosuvastatin Calcium 95 8,435 $1,753.05 32
Tamsulosin Hcl Tamsulosin Hcl 90 6,500 $1,489.02 25
Metoprolol Succinate Metoprolol Succinate 75 5,290 $1,128.20 21
Levothyroxine Sodium Levothyroxine Sodium 74 5,352 $1,277.08 18
Metformin Hcl Metformin Hcl 72 4,208 $1,077.24 15
Simvastatin Simvastatin 59 5,295 $774.31 20
Hydrochlorothiazide Hydrochlorothiazide 56 4,990 $602.99 19
Furosemide Furosemide 51 2,318 $451.51 โ€”
Gabapentin Gabapentin 47 2,750 $855.46 11
Albuterol Sulfate Hfa Albuterol Sulfate 46 915 $1,894.94 15
Atenolol Atenolol 43 3,771 $500.86 13
Carvedilol Carvedilol 43 2,668 $632.15 โ€”
Jardiance Empagliflozin 40 1,947 $39,326.90 โ€”
Duloxetine Hcl Duloxetine Hcl 36 2,172 $730.07 โ€”
Ozempic Semaglutide 36 1,540 $51,542.34 โ€”
Xarelto Rivaroxaban 35 2,160 $40,796.83 โ€”
Spironolactone Spironolactone 33 2,220 $470.86 โ€”
Allopurinol Allopurinol 29 2,570 $378.03 โ€”
Sertraline Hcl Sertraline Hcl 29 2,370 $227.01 โ€”

(top 25 shown)

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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MN 62157

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES MN 62157

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES IL 125061609

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES IL 125061609

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20170828003311

Enrollment State Jurisdiction

MN

PECOS Control ID

4981905023

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Park Nicollet Clinic

12142 Business Park Blvd N, Champlin, MN 553164525

Phone: 9529770500

Secondary Practice Locations

2160 S 1st Ave, Rm 7609

Maywood, IL 601533328

Phone: 7082168757

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
Dr. John Apostol , MD

Family Medicine

NPI 1245292655

Doctor of Medicine (M.D.)

Ashley Bliss , PA

Physician Assistant

NPI 1669703229

Physician Assistant

Dr. Glen Carlson , MD

Internal Medicine

NPI 1245217231

Doctor of Medicine (M.D.)

Kristine Gehrmann , PA-C

Physician Assistant

NPI 1023364296

Physician Assistant (Certified)

Samantha Hammer , PA

Physician Assistant

NPI 1508214511

Physician Assistant

NPI 1376298141

Certified Nurse Practitioner, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Internal Medicine (license number reported to NPPES: MN 62157)

โœ…
NPI Profile Active July 10, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location July 10, 2017

Registered at 12142 BUSINESS PARK BLVD N, CHAMPLIN, MN 553164525 (Tel: 9529770500)

๐Ÿ“
Updated Business Mailing Address July 10, 2017

Registered at 2160 S 1ST AVE, RM 7609, MAYWOOD, IL 601533328 (Tel: (708) 216-8757)

๐Ÿ‘ค
Provider Name / Credentials Updated July 10, 2017

Recorded as LAWRENCE MOLLO, MD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2017

Internal Medicine (license number reported to NPPES: IL 125061609)

โœ…
NPI Profile Active July 30, 2014

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) July 30, 2014

Registered at 2160 S 1ST AVE, RM 7609, MAYWOOD, IL 601533328 (Tel: 7082168757)

๐Ÿ“
Business Mailing Address (Initial Record) July 30, 2014

Registered at 2160 S 1ST AVE, RM 7609, MAYWOOD, IL 601533328 (Tel: 7082168757)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) July 30, 2014

Recorded as LAWRENCE MOLLO, MD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2014

Internal Medicine (license number reported to NPPES: IL 125061609)

๐ŸŸข
Initial NPI Registration & Enumeration April 05, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1508122334
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2012
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

2160 S 1st Ave, Rm 7609

Maywood, IL 601533328

Phone: 7082168757

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.