DR. DAPHNE PONCE TUMANENG D.O.
NPI 1417901174
Obstetrics & Gynecology in Warren, MI

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
86.85/100
CMS Quality Rating
11012 E 13 MILE RD, WARREN, MI 48093(586) 582-7150(586) 582-7164 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Daphne Ponce Tumaneng D.o. NPPES

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

DR. DAPHNE PONCE TUMANENG D.O. (NPI 1417901174) is an individual obstetrics & gynecology provider in Warren, Michigan, licensed in Michigan (5101015503) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2001).

NPPES Registry Identity

NPI1417901174
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. DAPHNE PONCE TUMANENGCredential: D.O.
Location Address11012 E 13 MILE RDWarren, MI 48093-2572
Mailing Address11012 E 13 Mile RdWarren, MI 48093-2572 · (586) 582-7150 · Fax (586) 582-7164
Fax(586) 582-7164
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2001
Enumeration DateMay 19, 2006
Last NPPES UpdateApril 22, 2020
NPPES CertifiedApril 22, 2020
NPI 1417901174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in MI · 5101015503 Licensed in HI · DOS-1250 Licensed in MN · 51001
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
11012 E 13 MILE RD, Warren, MI 48093

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

Dr. Daphne Ponce Tumaneng 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 ID4587667506
PECOS Enrollment IDI20060811000471
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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
26 services26 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.
24 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48093 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

86.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.71
Promoting Interoperability100
Improvement Activities40
Cost65.3

Reported Quality Measures

Breast Cancer Screening
65%240 patients3/55-star benchmark: 93%
Cervical Cancer Screening
90%941 patients4/55-star benchmark: 98%
Colorectal Cancer Screening
48%378 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
73%83 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
60%47 patients2/55-star benchmark: 91%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
88%1,080 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
54%1,586 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 33% · 1,084 patients
Patients screened: 36% · 1,084 patients
39%61 patients2/55-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.

Occupational Therapist
11012 E 13 MILE RD
WARREN, MI 48093
Physical Therapist
11012 E 13 MILE RD, STE 200
WARREN, MI 48093
Orthopaedic Surgery (Sports Medicine)
11012 E 13 MILE RD, SUITE 201
WARREN, MI 48093
Radiology (Nuclear Radiology)
11012 E 13 MILE RD, SUITE 111
WARREN, MI 48093
Orthotist
11012 E 13 MILE RD, STE 210
WARREN, MI 48093
Occupational Therapist
11012 E 13 MILE RD
WARREN, MI 48093
Psychiatry & Neurology (Neurology)
11012 E 13 MILE RD, SUITE 112
WARREN, MI 48093
Surgery
11012 E 13 MILE RD, SUITE 112
WARREN, MI 48093

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 Daphne Tumaneng's NPI number?

The NPI number for Daphne Tumaneng is 1417901174. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Daphne Tumaneng located?

Daphne Tumaneng practices at 11012 E 13 Mile Rd, Warren, MI 48093. The listed phone number is (586) 582-7150.

What is Daphne Tumaneng's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Daphne Tumaneng enrolled in Medicare?

Yes. Daphne Tumaneng 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 Daphne Tumaneng accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Daphne Tumaneng 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 Daphne Tumaneng affiliated with any hospitals?

According to CMS data, Daphne Tumaneng is affiliated with Ascension St John Hospital, Ascension Macomb Oakland Hosp-Warren Campus and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Daphne Tumaneng was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.