Active NPI 1205874815 Individual Practitioner Male Practitioner

Dr. Augustine Lavelle Tuma , MD

Internal Medicine • Lima, OH

Professional Overview & Biography Verified Profile Summary

Dr. Augustine Tuma, MD is a registered healthcare professional specializing in Internal Medicine in Lima, OH. Practice services are available at 730 W MARKET ST under active NPI credentials.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, hospital observation care, initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

730 W Market St

Lima, OH 458014602

Telephone 4192264310

Fax 4192264315

Associated Practice Facility / Clinic

🏢 Lima Emergency Physicians Inc Facility NPI 1033118526

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lima, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.1 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

47 Specialists

Practicing in Lima, OH (5516 Statewide)

Telehealth Adoption Rate

4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$300.00	$146.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	201	192	$300.00	$168.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	171	163	$300.00	$190.54
99220 Hospital observation care, typically 70 minutes	83	81	$273.00	$172.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	108	107	$300.00	$196.55
99220 Hospital observation care, typically 70 minutes	31	31	$270.00	$180.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	123	120	$305.00	$198.54
99220 Hospital observation care, typically 70 minutes	28	28	$437.86	$176.87
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	11	11	$281.00	$195.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	313	294	$305.00	$196.83
99220 Hospital observation care, typically 70 minutes	130	129	$245.00	$179.92
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	20	20	$281.00	$212.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	96	95	$293.04	$198.80
99291 Critical care, first 30-74 minutes	34	34	$320.00	$212.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	405	384	$291.00	$196.17
99291 Critical care, first 30-74 minutes	117	111	$320.00	$219.16
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	33	33	$196.00	$120.88
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	21	21	$224.00	$141.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$198.00	$134.39

Medical Specialties & State Licenses

CMS Verified: 2020-10-23

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2068097 (OH)

Commercial Insurance / Payer ID Bc/bs Of Ohio

000000392256 (OH)

Commercial Insurance / Payer ID Medicare Rr

POO86472 (OH)

Secondary Practice Locations

3130 N County Road 25a

Troy, OH 453731337

Phone: 9374404466

Practice Associates & Co-Workers

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

40 Associated Practitioners

Nadia Ghallab

Internal Medicine

NPI 1003234394

Amanda Laird

Nurse Practitioner - Acute Care

NPI 1033682190

Dr. Amy Hovest , MD

Hospitalist

NPI 1063547479

Doctor of Medicine (M.D.)

Dr. Yaser Hamwi , MD

Internal Medicine

NPI 1114049475

Doctor of Medicine (M.D.)

Dr. Dilpreet Singh , MD

Internal Medicine

NPI 1114677986

Doctor of Medicine (M.D.)

Dr. William Hinegardner , DO

Internal Medicine

NPI 1124719323

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address June 30, 2020

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

✅

NPI Profile Active October 26, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 26, 2011

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

📍

Updated Business Mailing Address October 26, 2011

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

👤

Provider Name / Credentials Updated October 26, 2011

Recorded as AUGUSTINE TUMA, MD

🎓

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

Internal Medicine (License #35.074242 in OH)

🟢

Initial NPI Registration & Enumeration June 04, 2006

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: 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

Update or Correct Profile

Mailing Address

3170 Kettering Blvd, Bldg B 3rd Floor

Moraine, OH 454394602

Phone: 9379913188

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.