DR. LUIS R URBINA M.D.
NPI 1609855063
Internal Medicine - Pulmonary Disease in Cookeville, TN

Q: What is Luis Urbina's NPI number?

The NPI number for Luis Urbina is 1609855063. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Q: What is Luis Urbina'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 Luis Urbina was last updated on July 8, 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.

Active since January 13, 2006PECOS EnrolledAccepts Medicare Assignment

53.45/100

CMS Quality Rating

145 W 4TH ST STE 201, COOKEVILLE, TN 38501(931) 783-2143(931) 783-2152 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2022, May 27, 2022, Nov 26, 2018 (3 updates tracked since 2018).

On this page

About Dr. Luis R Urbina M.d. NPPES

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

DR. LUIS R URBINA M.D. (NPI 1609855063) is an individual pulmonary disease provider in Cookeville, Tennessee, licensed in Tennessee (58378) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Cookeville Regional Medical Center, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1609855063

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. LUIS R URBINACredential: M.D.

Location Address145 W 4TH ST STE 201Cookeville, TN 38501-2476

Mailing Address140 W 7th StCookeville, TN 38501-1726 · (931) 783-5582 · Fax (931) 526-6760

Phone(931) 783-2143

Fax(931) 783-2152

Sole ProprietorYes

Medical School CMSOtherGraduated 1982

Enumeration DateJanuary 13, 2006

Last NPPES UpdateJuly 8, 20223 updates tracked since enumeration

NPPES CertifiedJuly 8, 2022

✔ NPI 1609855063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in TN · 58378✔ Licensed in AL · 00017313

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 ListedSpecialistTaxonomy 174400000X · License 17313 (AL)

Also ListedInternal MedicineTaxonomy 207R00000X · License 58378 (TN)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 00017313 (AL), 58378 (TN)

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 00017313 (AL), 58378 (TN)

145 W 4TH ST STE 201, Cookeville, TN 38501

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Other Identifiers 2

Medicaid000085402AL

Other510-85402AL · Blue Cross Provider #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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. Luis R Urbina 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 ID244224459

PECOS Enrollment IDI20190201000900

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 21

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.

172 services49 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.

127 services63 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.

80 services69 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.

72 services70 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.

62 services60 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.

61 services55 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.

58 services58 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 services47 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

44 services43 patients

Test to examine how well the lungs exchange gases 94729

43 services42 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.

43 services41 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.

37 services36 patients

Test to determine lung volumes using gas dilution or washout 94727

25 services24 patients

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

Albuterol is a medication used to treat breathing problems. It is administered as an inhalation solution through a device called DME (Durable Medical Equipment). The solution is FDA-approved and non-compounded. Each unit dose contains 1 mg of the medicine.

21 services21 patients

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

20 services19 patients

Computer-assisted image-guided navigation of lung airways using an endoscope 31627

This procedure involves the use of a special camera, called an endoscope, and computer technology to create real-time images of your lung airways. This helps doctors navigate through your lungs accurately, aiding in diagnosis or treatment.

19 services18 patients

Biopsy of lobe of lung using an endoscope, 1 lobe 31628

A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.

18 services17 patients

Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope 31629

A needle biopsy of windpipe cartilage, airway, or lung involves using a thin, flexible tube with a camera (endoscope) to access and collect tissue samples. This procedure helps doctors diagnose lung conditions or diseases effectively and safely.

18 services17 patients

Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 3 or more lymph nodes 31653

This procedure involves using a special scope and ultrasound to examine your lung airways and sample tissue from 3 or more lymph nodes. It aids in diagnosing lung conditions and checking lymph node health.

18 services18 patients

Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound 31654

This procedure involves using a specialized instrument, called an endoscope, to examine the lung airways. An ultrasound is also used to get a clearer image of any growths. If necessary, the doctor can perform procedures to diagnose or treat these growths.

18 services17 patients

Test to measure expiratory airflow and volume 94010

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Cookeville Regional Medical Center

Acute Care Hospitals · Cookeville, TN

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number440059

Location1 Medical Center BoulevardCookeville, TN 38501 · Putnam County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38501 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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.

53.45/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

66.38

Promoting Interoperability

Improvement Activities

Cost

43.28

Reported Quality Measures

Advance Care Plan

8%600 patients1/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

39%67 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

35%343 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

77%143 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

8%60 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

83%60 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

81%843 patients3/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

1%379 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

21%556 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

23%490 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 93% · 402 patients

Patients screened: 98% · 402 patients

80%94 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

73%175 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 395 patients

Patients totalRate: 3% · 396 patients

2%396 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 28

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

11 suppliers97 claims97 services$43.85 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

6 suppliers11 claims22 services$1.65 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

16 suppliers103 claims103 services$111.02 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

14 suppliers103 claims257 services$42.83 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

8 suppliers39 claims187 services$22.35 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

11 suppliers50 claims50 services$68.51 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

20 suppliers76 claims76 services$22.96 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

13 suppliers48 claims48 services$19.34 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

16 suppliers135 claims735 services$2.96 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

9 suppliers24 claims24 services$6.95 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

12 suppliers32 claims32 services$13.67 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

3 suppliers69 claims69 services$20.06 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

3 suppliers27 claims27 services$858.45 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

6 suppliers34 claims34 services$122.90 avg. paid by Medicare

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

1 supplier12 claims12 services$814.01 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

5 suppliers11 claims11 services$176.05 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

3 suppliers22 claims22 services$16.13 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

6 suppliers54 claims54 services$7.41 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

9 suppliers82 claims82 services$50.78 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

10 suppliers347 claims347 services$114.33 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

6 suppliers65 claims65 services$34.46 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

3 suppliers19 claims1,260 services$4.58 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

8 suppliers43 claims9,904 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

11 suppliers68 claims8,300 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

2 suppliers15 claims900 services$0.65 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

5 suppliers28 claims1,594 services$0.16 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers14 claims14 services$31.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

14 suppliers125 claims125 services$23.77 avg. paid by Medicare

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

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Other Providers at the Same Location NPPES 14

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

PAMELA SHELTON DOBBS PA-C

Physician Assistant

145 W 4TH ST STE 201
COOKEVILLE, TN 38501

Putnam County (931) 783-2143

DANA KILGORE LATTA APRN

Nurse Practitioner (Family)

145 W 4TH ST STE 201
COOKEVILLE, TN 38501

Putnam County (931) 783-5582

MRS. MARY LOU CAMERON FORNEHED ACNP, BC

Nurse Practitioner (Acute Care)

145 W 4TH ST STE 201
COOKEVILLE, TN 38501

Putnam County (931) 783-2143

SHAUNA DARLENE NUNES CRNP

Nurse Practitioner (Family)

145 W 4TH ST STE 201
COOKEVILLE, TN 38501

Putnam County (931) 783-2143

DANIEL LEE HOWELL JR. M.D.

Surgery

145 W 4TH ST STE 201
COOKEVILLE, TN 38501

Putnam County (931) 783-5515

MRS. GAIL JEAN COOK APRN

Nurse Practitioner (Adult Health)

145 W 4TH ST STE 201
COOKEVILLE, TN 38501

Putnam County (931) 783-2143

MRS. SHELBY LYNN VAN EPPS FNP-BC

Nurse Practitioner (Family)

145 W 4TH ST STE 201
COOKEVILLE, TN 38501

Putnam County (931) 783-5515

DR. TANYA CHARLENE MARSHALL MD

Internal Medicine (Critical Care Medicine)

145 W 4TH ST STE 201
COOKEVILLE, TN 38501

Putnam County (931) 783-2143

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 Luis Urbina's NPI number?

The NPI number for Luis Urbina is 1609855063. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is Luis Urbina located?

Luis Urbina practices at 145 W 4th St Ste 201, Cookeville, TN 38501. The listed phone number is (931) 783-2143.

What is Luis Urbina's specialty?

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

Is Luis Urbina enrolled in Medicare?

Yes. Luis Urbina 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 Luis Urbina accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Luis Urbina 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 Luis Urbina affiliated with any hospitals?

According to CMS data, Luis Urbina is affiliated with Cookeville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Luis Urbina was last updated on July 8, 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.