DARYL B LUNDGRIN MD
NPI 1881682813
Pathology - Anatomic Pathology & Clinical Pathology in Brentwood, TN

Q: What is Daryl Lundgrin's NPI number?

The NPI number for Daryl Lundgrin is 1881682813. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Q: What is Daryl Lundgrin's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Daryl Lundgrin was last updated on October 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 October 13, 2005PECOS Enrolled

73.51/100

CMS Quality Rating

5301 VIRGINIA WAY, SUITE 300, BRENTWOOD, TN 37027(615) 221-4474(615) 234-3774 Get Directions Write a Review

NPPES record last updated: October 28, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Daryl B Lundgrin Md NPPES

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

DARYL B LUNDGRIN MD (NPI 1881682813) is an individual anatomic pathology & clinical pathology provider in Brentwood, Tennessee, licensed in Kentucky (43153) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881682813

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameDARYL B LUNDGRINCredential: MD

Location Address5301 VIRGINIA WAY, SUITE 300Brentwood, TN 37027-7541

Mailing Address5301 Virginia Way, Suite 300Brentwood, TN 37027-7541 · (615) 221-4474 · Fax (615) 234-3774

Phone(615) 221-4474

Fax(615) 234-3774

Sole ProprietorNo

Enumeration DateOctober 13, 2005

Last NPPES UpdateOctober 28, 2010

✔ NPI 1881682813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in KY · 43153

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X · License MD25297 (TN)

5301 VIRGINIA WAY, Brentwood, TN 37027

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Other Identifiers 12

Other264946Black Lung

Medicaid3383335TN

Other3031330TN · Bcbs Of Tn

Medicaid89063XKNC

Other1140001United Healthcare

Other220018743Railroad Medicare

Medicare UPINF17293

Medicare ID-Type Unspecified3085136

OtherTN0101John Deer

Other100022075Php Of Tn

OtherPAYSUBTrigon

Medicaid00623235AGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daryl B Lundgrin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37027 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.

73.51/100

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

Scored as part of a group practice

Quality

68.83

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.

KATHY BRUNER MD