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MONICA ELIZABETH LEMMON M.D.
NPI 1144463993
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Durham, NC

Active since April 09, 2009PECOS Enrolled

NPPES record last updated: April 1, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Monica Elizabeth Lemmon M.d. NPPES

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

MONICA ELIZABETH LEMMON M.D. (NPI 1144463993) is an individual neurology with special qualifications in child neurology provider in Durham, North Carolina, licensed in North Carolina (2015-01082) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144463993
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameMONICA ELIZABETH LEMMONCredential: M.D.
Location AddressDUMC 3936Durham, NC 27710-6667
Mailing AddressDumc 3936Durham, NC 27710-6667
Phone(919) 668-0477
Sole ProprietorYes
Enumeration DateApril 9, 2009
Last NPPES UpdateApril 1, 2016
✔ NPI 1144463993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in NC · 2015-01082
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
DUMC 3936, Durham, NC 27710
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Monica Elizabeth Lemmon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Monica Lemmon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Duke Health Integrated Practice, Inc.
0.7 mi
General Practice
40 DUKE MEDICINE CIR
Durham, NC 27710
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 clinicians in this Medicare group
NPI 1205553369 (919) 620-4855

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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 Lemmon's NPI number?

The NPI number for Monica Lemmon is 1144463993. It was assigned to this individual provider in the NPPES registry on April 9, 2009.

Where is Monica Lemmon located?

Monica Lemmon practices at Dumc 3936, Durham, NC 27710. The listed phone number is (919) 668-0477.

What is Monica Lemmon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Monica Lemmon enrolled in Medicare?

Yes. Monica Lemmon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Monica Lemmon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Lemmon reassigns Medicare benefits to Duke Health Integrated Practice, Inc. (Durham, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Monica Lemmon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monica Lemmon accept?

Health plans from Cigna Healthcare list Monica Lemmon 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 Lemmon was last updated on April 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.