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KIMBERLY LUCIA PA-C
NPI 1376042812
Physician Assistant in Pittsburgh, PA

Active since February 11, 2018PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
8950 DUNCAN AVE FL 4, PITTSBURGH, PA 15237(412) 847-1290 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2024, Oct 4, 2021 (2 updates tracked since 2021).

About Kimberly Lucia Pa-c NPPES

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

KIMBERLY LUCIA PA-C (NPI 1376042812) is an individual physician assistant in Pittsburgh, Pennsylvania and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1376042812
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY LUCIACredential: PA-C
Location Address8950 DUNCAN AVE FL 4Pittsburgh, PA 15237-5803
Mailing Address8950 Duncan Ave Fl 4Pittsburgh, PA 15237-5803
Phone(412) 847-1290
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 11, 2018
Last NPPES UpdateSeptember 11, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1376042812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8950 DUNCAN AVE FL 4, Pittsburgh, PA 15237
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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

Kimberly Lucia Pa-c 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 ID7315200011
PECOS Enrollment IDI20180411000743
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 4

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.
80 services78 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
75 services30 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
23 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390334
Location12351 Perry HighwayWexford, PA 15090 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15237 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 2

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

MISS JAMIE LEE MODAFFARI MSN, CRNP
Nurse Practitioner (Family)
8950 DUNCAN AVE FL 4
PITTSBURGH, PA 15237
Allegheny County (412) 847-1290
MRS. BRITTANY NICHOL RIZOS PA-C
Physician Assistant (Medical)
8950 DUNCAN AVE FL 4
PITTSBURGH, PA 15237
Allegheny County (866) 424-6232

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 Kimberly Lucia's NPI number?

The NPI number for Kimberly Lucia is 1376042812. It was assigned to this individual provider in the NPPES registry on February 11, 2018.

Where is Kimberly Lucia located?

Kimberly Lucia practices at 8950 Duncan Ave Fl 4, Pittsburgh, PA 15237. The listed phone number is (412) 847-1290.

What is Kimberly Lucia's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kimberly Lucia enrolled in Medicare?

Yes. Kimberly Lucia 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.

Is Kimberly Lucia affiliated with any hospitals?

According to CMS data, Kimberly Lucia is affiliated with Allegheny General Hospital and Ahn Wexford Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Lucia was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.