DR. TIMOTHY BRIAN LUMPKIN M.D.
NPI 1427497791
Internal Medicine - Pulmonary Disease in Garfield Heights, OH

Q: What is Timothy Lumpkin's NPI number?

The NPI number for Timothy Lumpkin is 1427497791. It was assigned to this individual provider in the NPPES registry on June 20, 2013.

Q: What is Timothy Lumpkin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Lumpkin was last updated on September 10, 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.

Active since June 20, 2013PECOS EnrolledAccepts Medicare Assignment

12300 MCCRACKEN RD STE 259, GARFIELD HEIGHTS, OH 44125(216) 587-8830(216) 587-8944 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Timothy Brian Lumpkin M.d. NPPES

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

DR. TIMOTHY BRIAN LUMPKIN M.D. (NPI 1427497791) is an individual pulmonary disease provider in Garfield Heights, Ohio, licensed in Ohio (35.129091) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1427497791

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. TIMOTHY BRIAN LUMPKINCredential: M.D.

Location Address12300 MCCRACKEN RD STE 259Garfield Heights, OH 44125-2914

Mailing Address4901 Forest Park AveSaint Louis, MO 63108-1402 · (314) 362-5060

Phone(216) 587-8830

Fax(216) 587-8944

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJune 20, 2013

Last NPPES UpdateSeptember 10, 2020

NPPES CertifiedSeptember 10, 2020

✔ NPI 1427497791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in OH · 35.129091

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2013018168 (MO)

12300 MCCRACKEN RD STE 259, Garfield Heights, OH 44125

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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

Dr. Timothy Brian Lumpkin M.d. 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 ID9931338357

PECOS Enrollment IDI20190607000284, I20260609003362

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

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

The Cleveland Clinic Foundation

5.8 mi

General Acute Care Hospital

9500 EUCLID AVE
Cleveland, OH 44195

Reassigned Medicare billing, Ohio enrollment
7,608 clinicians in this Medicare group

NPI 1679525919 (216) 444-2200

Carolinas Physicians Network Inc

393 mi

Endocrinology, Diabetes & Metabolism

2209 S STERLING ST, SUITE 530
Morganton, NC 28655

Reassigned Medicare billing, North Carolina enrollment
2,057 clinicians in this Medicare group

NPI 1962784363 (980) 212-7120

Carolinas Medical Center

414 mi

Psychiatry

16740 DAVIDSON CONCORD RD, STE 200
Davidson, NC 28036

Reassigned Medicare billing, North Carolina enrollment
2,223 clinicians in this Medicare group

NPI 1629412184 (704) 801-9200

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 13

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

154 services75 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

93 services62 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

57 services46 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.

50 services39 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

48 services46 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

45 services44 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

37 services37 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

36 services31 patients

Test to examine how well the lungs exchange gases 94729

24 services24 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

20 services19 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

15 services15 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

14 services12 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340098

Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County

Emergency services Birthing friendly

Marymount Hospital

Acute Care Hospitals · Garfield Heights, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360143

Location12300 Mccracken RoadGarfield Heights, OH 44125 · Cuyahoga County

Emergency services

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Hillcrest Hospital

Acute Care Hospitals · Mayfield Heights, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360230

Location6780 Mayfield RoadMayfield Heights, OH 44124 · Cuyahoga County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44125 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

1 supplier13 claims13 services$168.08 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers14 claims14 services$33.90 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

2 suppliers15 claims15 services$63.30 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$30.76 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Timothy Lumpkin's NPI number?

The NPI number for Timothy Lumpkin is 1427497791. It was assigned to this individual provider in the NPPES registry on June 20, 2013.

Where is Timothy Lumpkin located?

Timothy Lumpkin practices at 12300 Mccracken Rd Ste 259, Garfield Heights, OH 44125. The listed phone number is (216) 587-8830.

What is Timothy Lumpkin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Timothy Lumpkin enrolled in Medicare?

Yes. Timothy Lumpkin 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 Timothy Lumpkin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Lumpkin reassigns Medicare benefits to 3 organizations: The Cleveland Clinic Foundation (Cleveland, OH), Carolinas Physicians Network Inc (Morganton, NC) and Carolinas Medical Center (Davidson, NC). 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 Timothy Lumpkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Lumpkin accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 5 other insurers list Timothy Lumpkin 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 Timothy Lumpkin affiliated with any hospitals?

According to CMS data, Timothy Lumpkin is affiliated with Atrium Health Pineville, Marymount Hospital, Cleveland Clinic and Hillcrest Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Lumpkin was last updated on September 10, 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.