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PRATIBHA LUMB M.D.
NPI 1801157185
Family Medicine in Williston, FL

Active since June 04, 2012PECOS EnrolledAccepts Medicare Assignment
630 N. MAIN STREET, WILLISTON, FL 32696(352) 528-0587(352) 528-4834 Get Directions Write a Review

NPPES record last updated: August 25, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pratibha Lumb M.d. NPPES

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

PRATIBHA LUMB M.D. (NPI 1801157185) is an individual family medicine provider in Williston, Florida, licensed in Florida (ME122011) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Lake City Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1801157185
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePRATIBHA LUMBCredential: M.D.
Location Address630 N. MAIN STREETWilliston, FL 32696
Mailing Address23343 Nw County Road 236High Springs, FL 32643-9669 · (386) 454-0698 · Fax (386) 454-0690
Phone(352) 528-0587
Fax(352) 528-4834
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 4, 2012
Last NPPES UpdateAugust 25, 2015
✔ NPI 1801157185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · ME122011✔ Licensed in FL · TRN#17328
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.
630 N. MAIN STREET, Williston, FL 32696
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Pratibha Lumb 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 ID3971731423
PECOS Enrollment IDI20150919000172
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

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.

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.
174 services169 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Florida Lake City Hospital

Acute Care Hospitals · Lake City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100156
Location340 NW Commerce DrLake City, FL 32055 · Columbia County
Emergency services

Hca Florida North Florida Hospital

Acute Care Hospitals · Gainesville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100204
Location6500 W Newberry RdGainesville, FL 32605 · Alachua County
Emergency services Birthing friendly

Hca Florida Putnam Hospital

Acute Care Hospitals · Palatka, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100232
Location611 Zeagler DrPalatka, FL 32177 · Putnam County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32696 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Pratibha Lumb's NPI number?

The NPI number for Pratibha Lumb is 1801157185. It was assigned to this individual provider in the NPPES registry on June 4, 2012.

Where is Pratibha Lumb located?

Pratibha Lumb practices at 630 N. Main Street, Williston, FL 32696. The listed phone number is (352) 528-0587.

What is Pratibha Lumb's specialty?

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

Is Pratibha Lumb enrolled in Medicare?

Yes. Pratibha Lumb 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 Pratibha Lumb accept?

Health plans from AvMed list Pratibha Lumb 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 Pratibha Lumb affiliated with any hospitals?

According to CMS data, Pratibha Lumb is affiliated with Hca Florida Lake City Hospital, Hca Florida North Florida Hospital and Hca Florida Putnam Hospital.

When was this NPI record last updated?

The NPPES record for Pratibha Lumb was last updated on August 25, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.