TONYA RUMBAUGH, APRN, FNP-C
Family Nurse Practitioner · LAWRENCEBURG, TN
Individual Active NPI 1295446573
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 137 | 507 | $48,757 | $22,200 | $15,495 |
| 2023 | 113 | 381 | $36,014 | $15,128 | $11,297 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 117 | $70 | $43 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 65 | $68 | $68 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 59 | $16 | $16 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 44 | $101 | $55 |
| 36415 | Insertion of needle into vein for collection of blood sample | 26 | $9 | $9 |
| 81003 | Automated urinalysis test | 21 | $2 | $2 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ✓ | 33182 | TN |
| General Practice Registered Nurse | 163WG0000X | 0000204989 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.