DR. NEAL CHIONG LUMAPAS M.D. NPI 1013075894
Internal Medicine in Dunnellon, FL

About DR. NEAL CHIONG LUMAPAS M.D.

Neal Lumapas is an internist established in Dunnellon, Florida and his medical specialization is Internal Medicine with more than 35 years of experience. He graduated from Southwestern Homeopathic Medical College And Hospital in 1988. The NPI number of Neal Lumapas is 1013075894 and was assigned on December 2006. The practitioner's primary taxonomy code is 207R00000X with license number ME80773 (FL). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1013075894
Provider NameDR. NEAL CHIONG LUMAPAS M.D.
Location Address12030 S OHIO ST DUNNELLON, FL 34431
Location Phone(352) 465-3730
Mailing Address12030 S OHIO ST DUNNELLON, FL 34431
GenderMale
NPI Entity TypeIndividual
Medical School NameSOUTHWESTERN HOMEOPATHIC MEDICAL COLLEGE AND HOSPITAL
Graduation Year1988
Is Sole Proprietor?No
Enumeration Date12-05-2006
Last Update Date06-25-2010

An internist like Dr. Neal Chiong Lumapas M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Neal Lumapas 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.

Neal Lumapas is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Marion Communtiy Hospital, Adventhealth Ocala and Bayfront Health Seven Rivers.

The typical physician office visit costs for Medicare beneficiaries in this area are: $33.81 for a new patient copayment and $25.94 for an established patient copayment.

The CLIA number of Dr. Neal Chiong Lumapas M.d. is 10D0990648 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Dr. Neal Chiong Lumapas M.d. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.ME80773
License StateFL
Taxonomy DescriptionA 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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

DR. NEAL CHIONG LUMAPAS M.D.
12030 S OHIO ST
DUNNELLON, FL
ZIP 34431
Phone: (352) 465-3730
Fax: (352) 465-3733

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Mailing Address

DR. NEAL CHIONG LUMAPAS M.D.
12030 S OHIO ST
DUNNELLON, FL
ZIP 34431
Phone: (352) 465-3730
Fax: (352) 465-3733


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID244354702
PECOS Enrollment IDI20100907000079
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 34431 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$58.4 $178.79 $135.26
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.6 $44.69 $33.81
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.74 $145.28 $103.76
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.43 $36.32 $25.94

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 291Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 223Automated urinalysis test (HCPCS:81003)
  • 179Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 68Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration (HCPCS:94060)
  • 64Administration of influenza virus vaccine (HCPCS:G0008)
  • 53Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • 21Removal of impact ear wax, one ear (HCPCS:69210)
  • 13Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Neal Lumapas is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MARION COMMUNTIY HOSPITAL1431 SW 1ST AVE
OCALA, FL 34478
(352) 401-1000Acute Care Hospitals100212
ADVENTHEALTH OCALA1500 SW 1ST AVE
OCALA, FL 34474
(352) 351-7200Acute Care Hospitals100062
BAYFRONT HEALTH SEVEN RIVERS6201 N SUNCOAST BLVD
CRYSTAL RIVER, FL 34428
(352) 795-6560Acute Care Hospitals100249

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1013075894 is:

CLIA Number10D0990648
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
259561300MEDICAID (05)FL
H25789MEDICARE UPIN (02)
E4649MEDICARE ID-TYPE UNSPECIFIED (04)FL

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.
1013075894
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230710818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 1 + 0 + 8 + 1 + 8 + 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 = 44

The NPI number 1013075894 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619127008NEAL C LUMAPAS MD PA
Organization
Clinic/Center12030 S OHIO ST
DUNNELLON, FL 34431
(352) 465-3730
1770855678 VIVIENE FIEL LUMAPAS NP-C
Individual
Nurse Practitioner (Adult Health)12030 S OHIO ST
DUNNELLON, FL 34431
(352) 299-7446

Frequently Asked Questions

What is Dr. Neal Lumapas M.D. NPI number?

The NPI number assigned to Dr. Neal Lumapas M.D. is 1013075894, registered as an "individual" on December 05, 2006

Where is Dr. Neal Lumapas M.D. located?

The provider is located at 12030 S Ohio St Dunnellon, Fl 34431 and the phone number is (352) 465-3730

Which is Dr. Neal Lumapas M.D. specialty?

The provider's speciality is Internal Medicine

How many years of experience does Dr. Neal Lumapas M.D. have?

The provider has more than 35 years of experience. He graduated from Southwestern Homeopathic Medical College And Hospital in 1988.

What insurance does Dr. Neal Lumapas M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Dr. Neal Lumapas M.D. registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare 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.

How much is a visit to Dr. Neal Lumapas M.D.?

Medicare beneficiaries should expect a typical cost of $135.26 with an average copayment of $33.81 for new patient appointments. Established patients should expect a typical charge of $103.76 and an average copayment of 25.94. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. Neal Lumapas M.D.?

The most common procedures or services performed by this practitioner are: Routine EKG using at least 12 leads including interpretation and report, Automated urinalysis test, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration, Administration of influenza virus vaccine, Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple, Removal of impact ear wax, one ear and Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers.

What is Dr. Neal Lumapas M.D. CLIA number?

The provider's CLIA number is 10D0990648 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

Is Dr. Neal Lumapas M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: MARION COMMUNTIY HOSPITAL, ADVENTHEALTH OCALA and BAYFRONT HEALTH SEVEN RIVERS. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Dr. Neal Lumapas M.D. was last updated on December 05, 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]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]