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CATHERINE N LUBWAMA MD
NPI 1518070754
Emergency Medicine in West Chester, PA

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment
86.75/100
CMS Quality Rating
701 E MARSHALL ST, WEST CHESTER, PA 19380(610) 431-5000 Get Directions Write a Review

NPPES record last updated: May 7, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Catherine N Lubwama Md NPPES

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

CATHERINE N LUBWAMA MD (NPI 1518070754) is an individual emergency medicine provider in West Chester, Pennsylvania, licensed in Pennsylvania (MD427265) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1518070754
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameCATHERINE N LUBWAMACredential: MD
Location Address701 E MARSHALL STWest Chester, PA 19380-4412
Mailing Address701 E Marshall StWest Chester, PA 19380-4412 · (610) 431-5000
Phone(610) 431-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 15, 2006
Last NPPES UpdateMay 7, 2014
✔ NPI 1518070754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · MD427265
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
701 E MARSHALL ST, West Chester, PA 19380
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Other Identifiers 3

Medicare ID-Type Unspecified096036Q12PA
Medicare UPINI45675
Medicaid1014736500001PA

Accepted Insurance

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

Catherine N Lubwama Md 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 ID6901825769
PECOS Enrollment IDI20051122000321
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.

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.
824 services356 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
148 services148 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.
111 services75 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
100 services99 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.
71 services71 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19380 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

86.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.91
Promoting Interoperability100
Improvement Activities40

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
3 suppliers27 claims27 services$13.58 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
3 suppliers34 claims34 services$66.81 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 20

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

NINA RUTH MAZZARELLI RN, BSN
Registered Nurse
701 E MARSHALL ST
WEST CHESTER, PA 19380
Chester County (610) 431-5000
CHESTER COUNTY HOSPITAL SPU
General Acute Care Hospital
701 E MARSHALL ST
WEST CHESTER, PA 19380
Chester County (610) 431-5000
ELISABETH ANNE CARTER MHS
Physician Assistant
701 E MARSHALL ST
WEST CHESTER, PA 19380
Chester County (610) 431-5150
JENNIFER M. BINGNEAR CRNA
Nurse Anesthetist, Certified Registered
701 E MARSHALL ST, NRW 141
WEST CHESTER, PA 19380
Chester County (610) 431-5472
PROF. AMANDA BRAUNSTEIN PA-C
Physician Assistant (Medical)
701 E MARSHALL ST
WEST CHESTER, PA 19380
Chester County (610) 431-5000
EMERGENCY CARE SPECIALISTS, PC
Emergency Medicine
701 E MARSHALL ST
WEST CHESTER, PA 19380
Chester County (610) 431-5150
MISS SARA ELIZABETH STERLING DO
Hospitalist
701 E MARSHALL ST
WEST CHESTER, PA 19380
Chester County (610) 431-5000
ANNAMARIE KOLLER D.O.
Pediatrics
701 E MARSHALL ST
WEST CHESTER, PA 19380
Chester County (610) 431-5376

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 Catherine Lubwama's NPI number?

The NPI number for Catherine Lubwama is 1518070754. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Catherine Lubwama located?

Catherine Lubwama practices at 701 E Marshall St, West Chester, PA 19380. The listed phone number is (610) 431-5000.

What is Catherine Lubwama's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Catherine Lubwama enrolled in Medicare?

Yes. Catherine Lubwama 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 Catherine Lubwama accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Catherine Lubwama 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 Catherine Lubwama affiliated with any hospitals?

According to CMS data, Catherine Lubwama is affiliated with Hospital Of Univ Of Pennsylvania and Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Catherine Lubwama was last updated on May 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.