Luis Urbina, M.D.
NPI 1609855063 · Pulmonary Disease Physician · Cookeville, TN
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Luis Urbina, M.D. is a Pulmonary Disease Physician provider in Cookeville, TN (NPI 1609855063).
Provider details
- NPI number
- 1609855063
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 58378 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,012 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 172 | $199 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 127 | $111 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 80 | $168 |
| Test to Measure Expiratory Airflow and Volume94010 | 72 | $8 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 62 | $49 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 61 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 201 | 54 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 143 | 53 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 77 | 18 |
| Fluticasone Propion/Salmeterolbrand: Fluticasone-Salmeterol | 28 | — |
| Prednisone | 21 | — |
| Salmeterol Xinafoatebrand: Serevent Diskus | 20 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$424 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-01-13
- Last updated
- 2022-07-08
- Certified
- 2022-07-08
Frequently asked questions
- What is Luis Urbina's NPI number?
- Luis Urbina's National Provider Identifier (NPI) is 1609855063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Luis Urbina's specialty?
- Luis Urbina is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Luis Urbina located?
- Luis Urbina's practice location on file with NPPES is 145 W 4th St Ste 201, Cookeville, TN 38501-2476.
- What is Luis Urbina's phone number?
- The practice phone number listed in the NPPES registry for Luis Urbina is (931) 783-2143.
- Does Luis Urbina accept Medicare?
- Luis Urbina is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Luis Urbina's NPI active?
- Yes — Luis Urbina's NPI (1609855063) is active in the NPPES registry as of the last update on 2022-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.