DR. LUCIA TOME MD
NPI 1760910467
Family Medicine in Philadelphia, PA
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
Specialties & Licenses 2
Secondary Practice Location 1
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.
Medicare Billing Reassignments
2Medicare 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.
Philadelphia, PA 19133
- Reassigned Medicare billing, Pennsylvania enrollment
- 76 clinicians in this Medicare group
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.
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.
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.
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.