MICHAEL F LUPINACCI II MD
NPI 1265409684
Physical Medicine & Rehabilitation in Mechanicsburg, PA

Active since March 03, 2006PECOS EnrolledAccepts Medicare Assignment
66.66/100
CMS Quality Rating
175 LANCASTER BLVD, MECHANICSBURG, PA 17055(717) 691-3755(717) 691-3834 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 23, 2026, Dec 15, 2025, Jan 14, 2020 (3 updates tracked since 2020).

About Michael F Lupinacci Ii Md NPPES

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

MICHAEL F LUPINACCI II MD (NPI 1265409684) is an individual physical medicine & rehabilitation provider in Mechanicsburg, Pennsylvania, licensed in Pennsylvania (MD041310E) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and is a graduate of Georgetown University School Of Medicine (1981).

NPPES Registry Identity

NPI1265409684
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameMICHAEL F LUPINACCI IICredential: MD
Location Address175 LANCASTER BLVDMechanicsburg, PA 17055
Mailing Address1776 Woodstead Ct Ste 208The Woodlands, TX 77380-1480 · (877) 749-7428 · Fax (512) 628-3314
Fax(717) 691-3834
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1981
Enumeration DateMarch 3, 2006
Last NPPES UpdateJanuary 23, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
NPI 1265409684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in PA · MD041310E
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedElectrodiagnostic MedicineTaxonomy 204R00000X · License MD041310E (PA)
175 LANCASTER BLVD, Mechanicsburg, PA 17055

Other Identifiers 5

Medicaid001142280-0007PA
Medicaid0011422800001PA
Medicaid001142280-0003PA
Medicaid001142280-0004PA
Medicaid001142280-0005PA

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

Michael F Lupinacci Ii 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 ID3971545765
PECOS Enrollment IDI20110218000358
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
4,214 services603 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
387 services338 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
95 services78 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
52 services31 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

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.

66.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality23.33
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 20

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier40 claims40 services$49.40 avg. paid by Medicare
Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier11 claims11 services$9.94 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
4 suppliers102 claims102 services$56.47 avg. paid by Medicare
Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier39 claims39 services$63.38 avg. paid by Medicare
Heel loop/holder, any type, with or without ankle strap, each E0951
DME-Wheelchairs · category DD000N
1 supplier26 claims52 services$1.14 avg. paid by Medicare
Manual wheelchair accessory, wheel lock brake extension (handle), each E0961
DME-Wheelchairs · category DD021N
2 suppliers42 claims81 services$1.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

Physician Assistant (Medical)
175 LANCASTER BLVD
MECHANICBURG, PA 17055
Nurse Practitioner
175 LANCASTER BLVD
MECHANICSBURG, PA 17055
Rehabilitation Hospital
175 LANCASTER BLVD
MECHANICSBURG, PA 17055
Physical Therapist
175 LANCASTER BLVD
MECHANICSBURG, PA 17055
Physician Assistant (Medical)
175 LANCASTER BLVD
MECHANICSBURG, PA 17055
Physician Assistant (Medical)
175 LANCASTER BLVD
MECHANICSBURG, PA 17055
Physical Medicine & Rehabilitation
175 LANCASTER BLVD
MECHANICSBURG, PA 17055
Physical Medicine & Rehabilitation
175 LANCASTER BLVD
MECHANICSBURG, PA 17055

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 Michael Lupinacci's NPI number?

The NPI number for Michael Lupinacci is 1265409684. It was assigned to this individual provider in the NPPES registry on March 3, 2006.

Where is Michael Lupinacci located?

Michael Lupinacci practices at 175 Lancaster Blvd, Mechanicsburg, PA 17055. The listed phone number is (717) 691-3755.

What is Michael Lupinacci's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Michael Lupinacci enrolled in Medicare?

Yes. Michael Lupinacci 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 Michael Lupinacci accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michael Lupinacci 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 Michael Lupinacci affiliated with any hospitals?

According to CMS data, Michael Lupinacci is affiliated with Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Michael Lupinacci was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.