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Dr. Augustine Lavelle Tuma , MD

Internal Medicine โ€ข Lima, OH

Active NPI 1205874815 Individual Practitioner Male Practitioner
Practice location in NPPES

730 W Market St
Lima, OH 458014602

Call 4192264310 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

730 W Market St

Lima, OH 458014602

Telephone 4192264310
Fax 4192264315
Organization at the Same NPPES Address or Phone
Lima Emergency Physicians Inc Facility NPI 1033118526

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Troy, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare patients

31 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $4,393 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $2,643 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Tuma has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Tuma as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lima and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 95% of clinicians listed under Internal Medicine in Lima, OH (2024, 31 clinicians with data). Median for this group: 478. Middle half: 194 to 797.

Fewer Medicare Part B services than 95% of clinicians listed under Internal Medicine in Ohio (2024, 3,145 clinicians with data). Median for this group: 574. Middle half: 262 to 1,043.

Medicare-allowed amount

A lower Medicare-allowed amount than 95% of clinicians listed under Internal Medicine in Lima, OH (2024, 31 clinicians with data). Median for this group: $51,619. Middle half: $21,780 to $81,455.

A lower Medicare-allowed amount than 90% of clinicians listed under Internal Medicine in Ohio (2024, 3,145 clinicians with data). Median for this group: $50,782. Middle half: $23,884 to $83,638.

Paid by Medicare

A lower Medicare payment amount than 95% of clinicians listed under Internal Medicine in Lima, OH (2024, 31 clinicians with data). Median for this group: $38,186. Middle half: $17,317 to $61,314.

A lower Medicare payment amount than 95% of clinicians listed under Internal Medicine in Ohio (2024, 3,145 clinicians with data). Median for this group: $37,953. Middle half: $17,413 to $63,670.

46 active clinicians are listed under Internal Medicine with a practice address in Lima, OH (5,283 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lima

4.3% of these 46 clinicians have the CMS telehealth indicator.

71.7% of these 46 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
30 30 $300.00 $146.42

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-10-23
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES OH 35.074242

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2068097 (OH)
Other Identifier Bc/bs Of Ohio
000000392256 (OH)
Other Identifier Medicare Rr
POO86472 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - INTERNAL MEDICINE

Medicare Enrollment ID

I20060420000001

Enrollment State Jurisdiction

OH

PECOS Control ID

8022041300

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

3130 N County Road 25a

Troy, OH 453731337

Phone: 9374404466

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Syed Ahmed , MD

Internal Medicine

NPI 1730829458

Doctor of Medicine (M.D.)

Matthew Antalis

Internal Medicine

NPI 1619470069
Dr. Ashruth Azad , MD

Internal Medicine

NPI 1942528013

Doctor of Medicine (M.D.)

Dr. Kyle Ball , DO

Internal Medicine

NPI 1780079533

Doctor of Osteopathic Medicine (D.O.)

Caleb Barrera , PA-C

Physician Assistant

NPI 1538701958

Physician Assistant (Certified)

Holly Borchers Ellinger , ACNP-BC

Nurse Practitioner - Acute Care

NPI 1437454873

ACNPBC

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
๐Ÿ“
Updated Business Mailing Address June 30, 2020

Registered at 3170 KETTERING BLVD, BLDG B 3RD FLOOR, MORAINE, OH 454394602 (Tel: 9379913188)

โœ…
NPI Profile Active October 26, 2011

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) October 26, 2011

Registered at 730 W MARKET ST, LIMA, OH 458014602 (Tel: 4192264310)

๐Ÿ“
Business Mailing Address (Initial Record) October 26, 2011

Registered at PO BOX 636930, CINCINNATI, OH 452630004 (Tel: 8005144390)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) October 26, 2011

Recorded as AUGUSTINE TUMA, MD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2011

Internal Medicine (license number reported to NPPES: OH 35.074242)

๐ŸŸข
Initial NPI Registration & Enumeration June 04, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205874815
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2006
Last Update: October 23, 2020
Sole Proprietor: No

Other Internal Medicine Providers in Lima

All Internal Medicine Providers in Lima

Mailing Address

3170 Kettering Blvd, Bldg B 3rd Floor

Moraine, OH 454394602

Phone: 9379913188

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.