NICOLE MARIE LUM M.D.
NPI 1740712751
Internal Medicine in East Setauket, NY

Q: What is Nicole Lum's NPI number?

The NPI number for Nicole Lum is 1740712751. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Q: What is Nicole Lum's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Lum was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 29, 2017PECOS EnrolledAccepts Medicare Assignment

98.52/100

CMS Quality Rating

205 N BELLE MEAD RD, EAST SETAUKET, NY 11733(631) 444-4630(631) 444-4652 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2021, Jul 14, 2020, Mar 29, 2017 (3 updates tracked since 2017).

On this page

About Nicole Marie Lum M.d. NPPES

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

NICOLE MARIE LUM M.D. (NPI 1740712751) is an individual internal medicine provider in East Setauket, New York, licensed in New York (305979) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and maintains a secondary practice location in Stony Brook.

NPPES Registry Identity

NPI1740712751

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameNICOLE MARIE LUMCredential: M.D.

Location Address205 N BELLE MEAD RDEast Setauket, NY 11733-3483

Mailing Address205 N Belle Mead RdEast Setauket, NY 11733-3483 · (631) 444-4630 · Fax (631) 444-4652

Phone(631) 444-4630

Fax(631) 444-4652

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 29, 2017

Last NPPES UpdateAugust 10, 20213 updates tracked since enumeration

NPPES CertifiedAugust 10, 2021

✔ NPI 1740712751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 305979

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

205 N BELLE MEAD RD, East Setauket, NY 11733

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Secondary Practice Location 1

Location 1Suny Stony Brook Hospital 101 Nicolls Rd, Dept. of Medicine, HSC Level 16Stony Brook, NY 11794-0001 · Phone (631) 444-2058 · Fax (631) 444-2493

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

Nicole Marie Lum 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 ID9830427319

PECOS Enrollment IDI20200820002899

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 7

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.

72 services56 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.

56 services47 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

18 services18 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.

15 services15 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.

12 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330185

Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County

Emergency services

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number330393

LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

98.52/100

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

Scored through an Alternative Payment Model

Quality

82.85

Promoting Interoperability

100

Improvement Activities

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.

DR. MELISSA LECTURA MD

Family Medicine (Geriatric Medicine)

205 N BELLE MEAD RD
EAST SETAUKET, NY 11733

Suffolk County (631) 444-4630

LIDIA VALJAN

Nurse Practitioner (Primary Care)

205 N BELLE MEAD RD
EAST SETAUKET, NY 11733

Suffolk County (631) 444-4630

DR. KERIM ODEKON MD

Internal Medicine

205 N BELLE MEAD RD
SETAUKET, NY 11733

Suffolk County (631) 444-4630

DR. WILLIAM WERTHEIM M.D.

Internal Medicine

205 N BELLE MEAD RD
EAST SETAUKET, NY 11733

Suffolk County (631) 444-4630

RITA MARIE KELLY NP

Nurse Practitioner (Adult Health)

205 N BELLE MEAD RD
EAST SETAUKET, NY 11733

Suffolk County (631) 444-4795

DR. LISA STRANO-PAUL M.D.

Internal Medicine

205 N BELLE MEAD RD
EAST SETAUKET, NY 11733

Suffolk County (631) 444-4630

DR. KIMBERLY ANN KRANZ M.D.

Internal Medicine

205 N BELLE MEAD RD
EAST SETAUKET, NY 11733

Suffolk County (631) 444-4630

TRACEY L SPINNATO MD

Internal Medicine

205 N BELLE MEAD RD, STONY BROOK PRIMARY CARE CENTER
EAST SETAUKET, NY 11733

Suffolk County (631) 444-4630

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 Nicole Lum's NPI number?

The NPI number for Nicole Lum is 1740712751. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Nicole Lum located?

Nicole Lum practices at 205 N Belle Mead Rd, East Setauket, NY 11733. The listed phone number is (631) 444-4630.

What is Nicole Lum's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicole Lum enrolled in Medicare?

Yes. Nicole Lum 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.

Is Nicole Lum affiliated with any hospitals?

According to CMS data, Nicole Lum is affiliated with John T Mather Memorial Hospital Of Port Jefferson and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Lum was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.