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KIMBERLY R LUMSDEN MD, PHD
NPI 1386935708
Family Medicine in York, PA

Active since April 20, 2011PECOS EnrolledAccepts Medicare Assignment
82.54/100
CMS Quality Rating
1550 RODNEY RD, YORK, PA 17408(717) 846-8791(717) 846-8410 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2020, Mar 18, 2016 (2 updates tracked since 2016).

About Kimberly R Lumsden Md, Phd NPPES

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

KIMBERLY R LUMSDEN MD, PHD (NPI 1386935708) is an individual family medicine provider in York, Pennsylvania, licensed in Pennsylvania (MD450583) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and is a graduate of Pennsylvania State University College Of Medicine (2011).

NPPES Registry Identity

NPI1386935708
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKIMBERLY R LUMSDENCredential: MD, PHD
Location Address1550 RODNEY RDYork, PA 17408-9715
Mailing Address1550 Rodney RdYork, PA 17408-9715 · (717) 846-8791 · Fax (717) 846-8410
Phone(717) 846-8791
Fax(717) 846-8410
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2011
Enumeration DateApril 20, 2011
Last NPPES UpdateAugust 17, 20202 updates tracked since enumeration
NPPES CertifiedAugust 17, 2020
✔ NPI 1386935708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD450583
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.
1550 RODNEY RD, York, PA 17408
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Other Identifiers 2

Medicaid102992667PA
Medicaid389078FLTPA

Accepted Insurance

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

Kimberly R Lumsden Md, Phd 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 ID3577888676
PECOS Enrollment IDI20150212001387
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 6

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.
269 services127 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
76 services76 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
52 services52 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.
36 services29 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
29 services27 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

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

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Upmc Hanover

Acute Care Hospitals · Hanover, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390233
Location300 Highland AveHanover, PA 17331 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17408 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
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

82.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.94 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$89.64 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 9

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

MARJORIE DIERDORF
Nurse Practitioner (Family)
1550 RODNEY RD
YORK, PA 17408
York County (717) 846-8791
MR. MICHAEL GEORGE SPAEDER PA-C
Physician Assistant
1550 RODNEY RD
YORK, PA 17408
York County (717) 846-8791
PARTNERS IN FAMILY HEALTH P.C.
Non-Pharmacy Dispensing Site
1550 RODNEY RD
YORK, PA 17408
York County (717) 846-8791
CHRISTINE INEZ LEPPO CRNP
Nurse Practitioner (Gerontology)
1550 RODNEY RD
YORK, PA 17408
York County (717) 846-8791
CHELSIE HANNA MORRISSEY CRNP
Nurse Practitioner (Family)
1550 RODNEY RD
YORK, PA 17408
York County (717) 846-8791
ANNE DANIELLE T FORD CRNP
Nurse Practitioner (Family)
1550 RODNEY RD
YORK, PA 17408
York County (717) 846-8791
PINNACLE HEALTH MEDICAL SERVICES
Family Medicine
1550 RODNEY RD
YORK, PA 17408
York County (717) 846-8791
RACHEL MARIE MORELLI DNP, FNP-C
Nurse Practitioner (Family)
1550 RODNEY RD
YORK, PA 17408
York County (717) 846-8791

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 Lumsden's NPI number?

The NPI number for Kimberly Lumsden is 1386935708. It was assigned to this individual provider in the NPPES registry on April 20, 2011.

Where is Kimberly Lumsden located?

Kimberly Lumsden practices at 1550 Rodney Rd, York, PA 17408. The listed phone number is (717) 846-8791.

What is Kimberly Lumsden's specialty?

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

Is Kimberly Lumsden enrolled in Medicare?

Yes. Kimberly Lumsden 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 Kimberly Lumsden accept?

Health plans from Molina Healthcare list Kimberly Lumsden 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 Kimberly Lumsden affiliated with any hospitals?

According to CMS data, Kimberly Lumsden is affiliated with Wellspan York Hospital, Upmc Pinnacle Hospitals, Upmc Memorial and Upmc Hanover.

When was this NPI record last updated?

The NPPES record for Kimberly Lumsden was last updated on August 17, 2020. 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.