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DR. DAVID WARREN LUGINBILL DO
NPI 1275598971
Family Medicine in Lansing, MI

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
1200 E MICHIGAN AVE, SUITE 325, LANSING, MI 48912(517) 364-5160(517) 364-5165 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. David Warren Luginbill Do NPPES

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

DR. DAVID WARREN LUGINBILL DO (NPI 1275598971) is an individual family medicine provider in Lansing, Michigan, licensed in Michigan (5101007533) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and is a graduate of Michigan State University College Of Human Medicine (1978).

NPPES Registry Identity

NPI1275598971
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DAVID WARREN LUGINBILLCredential: DO
Location Address1200 E MICHIGAN AVE, SUITE 325Lansing, MI 48912-1800
Mailing Address1200 E Michigan Ave, Suite 325Lansing, MI 48912-1800 · (517) 364-5160 · Fax (517) 364-5165
Phone(517) 364-5160
Fax(517) 364-5165
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 1978
Enumeration DateApril 18, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1275598971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101007533
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.
1200 E MICHIGAN AVE, Lansing, MI 48912
Open in Google Maps ↗

Other Identifiers 2

Medicaid3477262MI
Other01-5-33-3728-4MI · Bcbs Individual Pin Numbe

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David Warren Luginbill Do 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 ID9032263702
PECOS Enrollment IDI20090814000043
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 Reassignments

3

Medicare enrollment records show David Luginbill reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Edward W Sparrow Hospital Association
Same address
Cardiovascular Disease
1140 E MICHIGAN AVE STE 400
Lansing, MI 48912
NPI 1245737402 (517) 364-9650
Sparrow Eaton Hospital
1.2 mi
School
509 BURCHAM DR STE 59
East Lansing, MI 48823
  • Reassigned Medicare billing, Michigan enrollment
  • 137 clinicians in this Medicare group
NPI 1063227486 (517) 253-6320
Sparrow Clinton Hospital
18 mi
Multi-Specialty
901 S OAKLAND ST
Saint Johns, MI 48879
  • Reassigned Medicare billing, Michigan enrollment
  • 114 clinicians in this Medicare group
NPI 1306893078 (989) 224-2338

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

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.
36 services35 patients
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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48912 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
42%184 patients2/55-star benchmark: 100%
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…
98%217 patients4/55-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.

SHIMIA ISAAC D.O.
Family Medicine
1200 E MICHIGAN AVE, SUITE 245
LANSING, MI 48912
Ingham County (517) 364-5772
DEBRA MARIE PIERCE M.D.
Surgery
1200 E MICHIGAN AVE, SUITE 655
LANSING, MI 48912
Ingham County (517) 267-2460
KATRINA ANNE WEIRAUCH ENGLE D.O.
Family Medicine
1200 E MICHIGAN AVE, SUITE 245-C
LANSING, MI 48912
Ingham County (517) 364-5772
MR. IMU AMIRALI ESMAIL MD
Anesthesiology
1200 E MICHIGAN AVE, SUITE 370
LANSING, MI 48912
Ingham County (517) 484-4451
DR. RENUKA GERA M.D.
Pediatrics (Pediatric Hematology-Oncology)
1200 E MICHIGAN AVE, STE 145
LANSING, MI 48912
Ingham County (517) 364-5440
DAVID MALDONADO
Technician/Technologist (Optician)
1200 E MICHIGAN AVE, SUITE 110
LANSING, MI 48912
Ingham County (517) 364-5875
TONI MARIE MCFARLAND M.A., L.P.C.
Counselor
1200 E MICHIGAN AVE, SUITE 630
LANSING, MI 48912
Ingham County (517) 364-5130
EDWARD W SPARROW HOSPITAL ASSOCIATION
Internal Medicine
1200 E MICHIGAN AVE, SUITE 500
LANSING, MI 48912
Ingham County (517) 364-5123

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 David Luginbill's NPI number?

The NPI number for David Luginbill is 1275598971. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is David Luginbill located?

David Luginbill practices at 1200 E Michigan Ave Suite 325, Lansing, MI 48912. The listed phone number is (517) 364-5160.

What is David Luginbill's specialty?

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

Is David Luginbill enrolled in Medicare?

Yes. David Luginbill 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.

Which organizations bill Medicare for David Luginbill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Luginbill reassigns Medicare benefits to 3 organizations: Edward W Sparrow Hospital Association (Lansing, MI), Sparrow Eaton Hospital (East Lansing, MI) and Sparrow Clinton Hospital (Saint Johns, MI). Each 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 David Luginbill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Luginbill accept?

Health plans from Priority Health list David Luginbill 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 David Luginbill affiliated with any hospitals?

According to CMS data, David Luginbill is affiliated with Edward W Sparrow Hospital.

When was this NPI record last updated?

The NPPES record for David Luginbill was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.