LUCY MUNOZ MEDINA MD
NPI 1205001187
Family Medicine in Chicago, IL

Active since April 23, 2008PECOS EnrolledAccepts Medicare Assignment
84.57/100
CMS Quality Rating
840 S WOOD ST, ROOM 440, CLINICAL SCIENCES NORTH, CHICAGO, IL 60612(312) 996-7700(312) 413-8283 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 27, 2021, Aug 13, 2020 (2 updates tracked since 2020).

About Lucy Munoz Medina Md NPPES

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

LUCY MUNOZ MEDINA MD (NPI 1205001187) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036-119916) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1205001187
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLUCY MUNOZ MEDINACredential: MD
Location Address840 S WOOD ST, ROOM 440, CLINICAL SCIENCES NORTHChicago, IL 60612-4325
Mailing Address1901 W Harrison St, Room 440, Clinical Sciences NorthChicago, IL 60612-3714 · (312) 864-6000
Fax(312) 413-8283
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateApril 23, 2008
Last NPPES UpdateApril 27, 20212 updates tracked since enumeration
NPPES CertifiedApril 27, 2021
NPI 1205001187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036-119916
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.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License 336081139 (IL)
Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X · License 336081139 (IL)
840 S WOOD ST, Chicago, IL 60612

Accepted 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

Lucy Munoz Medina Md 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 ID4587805387
PECOS Enrollment IDI20160926001549
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.
40 services30 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.
18 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

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.

Pharmacist (Ambulatory Care)
840 S WOOD ST
CHICAGO, IL 60612
Surgery
840 S WOOD ST, SUITE 417 CSB
CHICAGO, IL 60612
Pharmacist (Pharmacotherapy)
840 S WOOD ST, SUITE 163, CSB
CHICAGO, IL 60612
Pharmacist (Pharmacotherapy)
840 S WOOD ST, SUITE 163 CLINICAL SCIENCES BUILDING
CHICAGO, IL 60612
Internal Medicine (Hematology & Oncology)
840 S WOOD ST, MC-713
CHICAGO, IL 60612
Internal Medicine (Gastroenterology)
840 S WOOD ST
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
840 S WOOD ST, MC 856
CHICAGO, IL 60612
Pathology (Anatomic Pathology)
840 S WOOD ST
CHICAGO, IL 60612

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 Lucy Munoz Medina's NPI number?

The NPI number for Lucy Munoz Medina is 1205001187. It was assigned to this individual provider in the NPPES registry on April 23, 2008.

Where is Lucy Munoz Medina located?

Lucy Munoz Medina practices at 840 S Wood St Room 440, Clinical Sciences North, Chicago, IL 60612. The listed phone number is (312) 996-7700.

What is Lucy Munoz Medina's specialty?

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

Is Lucy Munoz Medina enrolled in Medicare?

Yes. Lucy Munoz Medina 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 Lucy Munoz Medina accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Lucy Munoz Medina 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.

Is Lucy Munoz Medina affiliated with any hospitals?

According to CMS data, Lucy Munoz Medina is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Lucy Munoz Medina was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.