DR. LUCIA TOME MD
NPI 1760910467
Family Medicine in Philadelphia, PA

Active since May 25, 2017PECOS EnrolledAccepts Medicare Assignment
76.5/100
CMS Quality Rating
401-55 W ALLEGHENY AVENUE, PHILADELPHIA, PA 19133(215) 291-2500(215) 291-2587 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 8, 2022, Jun 29, 2020, May 25, 2017 (3 updates tracked since 2017).

About Dr. Lucia Tome Md NPPES

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

DR. LUCIA TOME MD (NPI 1760910467) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD479928) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Stanford, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2017).

NPPES Registry Identity

NPI1760910467
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LUCIA TOMECredential: MD
Location Address401-55 W ALLEGHENY AVENUEPhiladelphia, PA 19133
Mailing Address1412 Fairmount AvePhiladelphia, PA 19130-2908 · (215) 684-5344 · Fax (215) 232-4093
Fax(215) 291-2587
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2017
Enumeration DateMay 25, 2017
Last NPPES UpdateAugust 2, 20233 updates tracked since enumeration
NPPES CertifiedAugust 2, 2023
✔ NPI 1760910467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · MD479928✔ Licensed in CA · A157266
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License A157266 (CA)
401-55 W ALLEGHENY AVENUE, Philadelphia, PA 19133

Secondary Practice Location 1

Location 1300 Pasteur DrStanford, CA 94305-2200 · Phone (650) 723-4000

Accepted 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. Lucia Tome 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 ID6406272467
PECOS Enrollment IDI20230228000903
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

2

Medicare enrollment records show Lucia Tome reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
400 W ALLEGHENY AVE BLDG 3
Philadelphia, PA 19133
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 76 clinicians in this Medicare group
Urgent Care
6060 RIDGE AVE, STE 100
Philadelphia, PA 19128
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 81 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19133 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.

76.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.31
Promoting Interoperability100
Improvement Activities40
Cost43.95

Other Providers at the Same Location NPPES 6

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

Counselor (Mental Health)
401-55 W ALLEGHENY AVENUE
PHILADELPHIA, PA 19133
Nurse Practitioner (Family)
401-55 W ALLEGHENY AVENUE
PHILADELPHIA, PA 19133
Family Medicine
401-55 W ALLEGHENY AVENUE
PHILADELPHIA, PA 19133
Dentist
401-55 W ALLEGHENY AVENUE
PHILADELPHIA, PA 19133
Family Medicine
401-55 W ALLEGHENY AVENUE
PHILADELPHIA, PA 19133
Dentist (General Practice)
401-55 W ALLEGHENY AVENUE
PHILADELPHIA, PA 19133

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 Lucia Tome's NPI number?

The NPI number for Lucia Tome is 1760910467. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Where is Lucia Tome located?

Lucia Tome practices at 401-55 W Allegheny Avenue, Philadelphia, PA 19133. The listed phone number is (215) 291-2500.

What is Lucia Tome's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lucia Tome enrolled in Medicare?

Yes. Lucia Tome 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 Lucia Tome's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lucia Tome reassigns Medicare benefits to 2 organizations: Delaware Valley Community Health, Inc. (Philadelphia, PA) and On Demand Urgent Care Group PC (Philadelphia, PA). 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 Lucia Tome's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lucia Tome accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Lucia Tome 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.

When was this NPI record last updated?

The NPPES record for Lucia Tome was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.