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DR. MONICA A LUMPKIN M.D.
NPI 1033195524
Family Medicine in Sacaton, AZ

Active since December 16, 2005PECOS EnrolledAccepts Medicare Assignment
483 W. SEED FARM RD., SACATON, AZ 85147(602) 528-1200(602) 528-1255 Get Directions Write a Review

NPPES record last updated: March 9, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Monica A Lumpkin M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MONICA A LUMPKIN M.D. (NPI 1033195524) is an individual family medicine provider in Sacaton, Arizona, licensed in Arizona (26361) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (1994).

NPPES Registry Identity

NPI1033195524
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MONICA A LUMPKINCredential: M.D.
Location Address483 W. SEED FARM RD.Sacaton, AZ 85147
Mailing AddressPo Box 38Sacaton, AZ 85147-0038 · (602) 528-1200 · Fax (602) 528-1255
Phone(602) 528-1200
Fax(602) 528-1255
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1994
Enumeration DateDecember 16, 2005
Last NPPES UpdateMarch 9, 2012
✔ NPI 1033195524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 26361
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
483 W. SEED FARM RD., Sacaton, AZ 85147
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Other Identifiers 1

Medicare UPINH50075AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Monica A Lumpkin M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385624824
PECOS Enrollment IDI20040723000916
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This 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.
141 services83 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
19 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85147 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
50%78 patients3/55-star benchmark: 98%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%1,252 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
46%145 patients2/55-star benchmark: 98%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
73%162 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%32 patients5/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
56%141 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
80%103 patients4/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
2%163 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONNIE GIGOUS FNP
Nurse Practitioner (Family)
483 W. SEED FARM RD.
SACATON, AZ 85147
Pinal County (602) 528-1200
JOAN E LAZORE FNP-C
Nurse Practitioner (Family)
483 W. SEED FARM RD.
SACATON, AZ 85147
Pinal County (602) 528-1200
DR. NGUYET MINH KHA DDS
Dentist (General Practice)
483 W. SEED FARM RD.
SACATON, AZ 85147
Pinal County (602) 528-1200
GILA RIVER HEALTH CARE CORPORTION
General Acute Care Hospital (Critical Access)
483 W. SEED FARM RD., CREDENTIALING
SACATON, AZ 85147
Pinal County (602) 528-1340
LYNN MARIE PACHECO LCSW
Social Worker (Clinical)
483 W. SEED FARM RD.
SACATON, AZ 85147
Pinal County (602) 528-1200
MAILI HUCK CAREY RD, CDE
Dietitian, Registered
483 W. SEED FARM RD.
SACATON, AZ 85147
Pinal County (602) 528-1200
MS. CHERIE KEMPER R.D.
Dietitian, Registered
483 W. SEED FARM RD.
SACATON, AZ 85147
Pinal County (602) 528-1200
DR. PAUL D KELLER JR. DPM
Podiatrist
483 W. SEED FARM RD.
SACATON, AZ 85147
Pinal County (602) 528-1200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Monica Lumpkin's NPI number?

The NPI number for Monica Lumpkin is 1033195524. It was assigned to this individual provider in the NPPES registry on December 16, 2005.

Where is Monica Lumpkin located?

Monica Lumpkin practices at 483 W. Seed Farm Rd., Sacaton, AZ 85147. The listed phone number is (602) 528-1200.

What is Monica Lumpkin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Monica Lumpkin enrolled in Medicare?

Yes. Monica Lumpkin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Monica Lumpkin accept?

Health plans from Blue Cross Blue Shield of Arizona list Monica Lumpkin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Monica Lumpkin was last updated on March 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.