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Active NPI 1528244894 Individual Practitioner Female Practitioner

Tara Pomponio , PA-C

Physician Assistant • Annapolis, MD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tara Pomponio, PA-C is a certified Physician Assistant practicing in Annapolis, MD. With approximately 20 years of clinical experience since completing medical education in 2006, Tara Pomponio delivers high-quality medical care to the local community at 2000 MEDICAL PKWY.

Tara Pomponio is affiliated with Luminis Health Medical Group, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, cervical or vaginal cancer screening; pelvic and clinical breast examination. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2000 Medical Pkwy
Suite 304

Annapolis, MD 214013742

Telephone 4105739530
Associated Practice Facility / Clinic
🏢 Luminis Health Imaging, Inc. Facility NPI 1366420879

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Annapolis, MD

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +8.0 yrs vs City Avg
City Avg: 12.0 Yrs
State Avg: 11.8 Yrs
Regional Practice Density
109 Specialists

Practicing in Annapolis, MD (3255 Statewide)

Telehealth Adoption Rate
26.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pomponio (20 Years) 20 Yrs
Annapolis Specialty Average (12.0 Years) 12.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
21 20 $260.00 $112.14

Medical Specialties & State Licenses

CMS Verified: 2024-12-27
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MD CO4459

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License CA PA18732

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare
596754Y5Z (MD)
Commercial Insurance / Payer ID Medicare
596754ZDWS (MD)

Hospital & Practice Group Affiliations

Luminis Health Medical Group, Llc

1630 Main St, Chester, MD 216192793

Luminis Health Medical Group, Llc

2003 Medical Pkwy Wayson Pavillion, Annapolis, MD 214013081

Phone: 4439514286

Luminis Health Medical Group, Llc

2003 Medical Pkwy, Annapolis, MD 214013081

Luminis Health Medical Group, Llc

2000 Medical Pkwy, Annapolis, MD 214013747

Phone: 4434816659

Secondary Practice Locations

18 Magothy Beach Rd Ste A

Pasadena, MD 211224477

Phone: 4105739530

2401 Brandermill Blvd Ste 350

Gambrills, MD 210541617

Phone: 4105739530

1630 Main St Ste 211

Chester, MD 216192793

Phone: 4105739530

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
Dr. Richard Welch , MD

Obstetrics & Gynecology

NPI 1053314757

Doctor of Medicine (M.D.)

Julie Viera , PA-C

Physician Assistant

NPI 1063469435

Physician Assistant (Certified)

Dr. Joy'el Ballard , MD

Obstetrics & Gynecology

NPI 1104960426

Doctor of Medicine (M.D.)

Dr. Jennifer Haase , MD

Obstetrics & Gynecology

NPI 1194110106

Doctor of Medicine (M.D.)

Dr. Mark Repka , MD

Obstetrics & Gynecology

NPI 1235132945

Doctor of Medicine (M.D.)

Dr. Julia Lubsky , MD

Obstetrics & Gynecology - Gynecology

NPI 1235405234

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Business Mailing Address December 27, 2024

Registered at 2000 MEDICAL PKWY STE 409, ANNAPOLIS, MD 214013746 (Tel: 6672047212)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2024

Physician Assistant (License #PA18732 in CA)

NPI Profile Active October 31, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address October 31, 2017

Registered at PO BOX 12622, BELFAST, ME 049154017 (Tel: 4105739530)

📍
Updated Practice Location October 31, 2017

Registered at 2000 MEDICAL PKWY, SUITE 304, ANNAPOLIS, MD 214013742 (Tel: 4105739530)

👤
Provider Name / Credentials Updated October 31, 2017

Recorded as TARA POMPONIO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2017

Physician Assistant (License #CO4459 in MD)

NPI Profile Active May 23, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 23, 2011

Registered at 2000 MEDICAL PKWY, SUITE 304, ANNAPOLIS, MD 214013742 (Tel: 4105739530)

📍
Updated Business Mailing Address May 23, 2011

Registered at 2000 MEDICAL PKWY, SUITE 304, ANNAPOLIS, MD 214013742 (Tel: 4105739530)

👤
Provider Name / Credentials Updated May 23, 2011

Recorded as TARA POMPONIO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2011

Physician Assistant (License #CO4459 in MD)

🟢
Initial NPI Registration & Enumeration January 16, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528244894
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2008
Last Update: December 27, 2024
Sole Proprietor: No

Mailing Address

2000 Medical Pkwy Ste 409

Annapolis, MD 214013746

Phone: 6672047212

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.