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SARAH LUMLEY D.O.
NPI 1407856891
Family Medicine in Connellsville, PA

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
204 MEMORIAL BLVD, CONNELLSVILLE, PA 15425(724) 626-7335(724) 626-7339 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sarah Lumley D.o. NPPES

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

SARAH LUMLEY D.O. (NPI 1407856891) is an individual family medicine provider in Connellsville, Pennsylvania, licensed in Pennsylvania (OS010452L) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Uniontown Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (1998).

NPPES Registry Identity

NPI1407856891
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSARAH LUMLEYCredential: D.O.
Location Address204 MEMORIAL BLVDConnellsville, PA 15425-2654
Mailing Address211 Easy St, Suite 127Uniontown, PA 15401-3129 · (724) 430-8755 · Fax (724) 434-1659
Phone(724) 626-7335
Fax(724) 626-7339
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 1998
Enumeration DateJuly 28, 2005
Last NPPES UpdateApril 6, 2022
NPPES CertifiedApril 6, 2022
✔ NPI 1407856891 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 · OS010452L
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.
204 MEMORIAL BLVD, Connellsville, PA 15425
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Other Identifiers 7

Other123407PA · Medplus
Other341011PA · Highmark
OtherP002316PA · Gateway
Medicaid0015441410016PA
Other142623PA · Health America
Other080182863PA · Railroad Medicare
Other304166PA · Upmc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Sarah Lumley D.o. 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 ID4385659523
PECOS Enrollment IDI20060209000405
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 Reassignment

Medicare enrollment records show Sarah Lumley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fayette Physician Network Inc
Same address
Family Medicine
224 MEMORIAL BLVD
Connellsville, PA 15425
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 398 clinicians in this Medicare group
NPI 1518369792 (724) 626-7335

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 12

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.
279 services160 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.
154 services110 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.
127 services127 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.
76 services75 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
74 services66 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
46 services46 patients

Hospital Affiliations CMS Care Compare 4

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

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390041
Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County
Emergency services

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390145
Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County
Emergency services Birthing friendly

Penn Highlands Connellsville

Acute Care Hospitals · Connellsville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390184
Location401 East Murphy AvenueConnellsville, PA 15425 · Fayette County
Emergency services

Excela Health - Frick Hospital

Acute Care Hospitals · Mount Pleasant, PA
OwnershipVoluntary non-profit - Other
CMS Certification Number390217
Location508 South Church StreetMount Pleasant, PA 15666 · Westmoreland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15425 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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers43 claims87 services$6.46 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers20 claims26 services$1.09 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$4.75 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with flange (2 piece), each A5054
DME-Orthotic Devices · category DF010N
1 supplier11 claims630 services$1.74 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims315 services$4.36 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$13.61 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 3

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

CHERIE DOLAN CRNP
Nurse Practitioner
204 MEMORIAL BLVD
CONNELLSVILLE, PA 15425
Fayette County (724) 626-7335
FAYETTE SPECIALTY ASSOCIATES
Obstetrics & Gynecology
204 MEMORIAL BLVD
CONNELLSVILLE, PA 15425
Fayette County (724) 626-7370
FAYETTE MEDICAL ASSOCIATES INC
Family Medicine
204 MEMORIAL BLVD
CONNELLSVILLE, PA 15425
Fayette County (724) 626-7340

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 Sarah Lumley's NPI number?

The NPI number for Sarah Lumley is 1407856891. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Sarah Lumley located?

Sarah Lumley practices at 204 Memorial Blvd, Connellsville, PA 15425. The listed phone number is (724) 626-7335.

What is Sarah Lumley's specialty?

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

Is Sarah Lumley enrolled in Medicare?

Yes. Sarah Lumley 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 organization bills Medicare for Sarah Lumley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Lumley reassigns Medicare benefits to Fayette Physician Network Inc (Connellsville, PA). The 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 Sarah Lumley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Lumley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Molina Healthcare list Sarah Lumley 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 Sarah Lumley affiliated with any hospitals?

According to CMS data, Sarah Lumley is affiliated with Uniontown Hospital, Excela Health Westmoreland Regional Hospital, Penn Highlands Connellsville and Excela Health - Frick Hospital.

When was this NPI record last updated?

The NPPES record for Sarah Lumley was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.