What is Luis Urbina's specialty?

Luis Urbina (NPI 1609855063) is a Medicare-billing provider whose primary specialty is Pulmonary Disease in Cookeville, TN.

Where does Luis Urbina practice?

Luis Urbina practices in Cookeville, TN, based on the location reported in the CMS Medicare provider datasets for NPI 1609855063.

How much does Medicare pay Luis Urbina?

Luis Urbina (NPI 1609855063) received approximately $87K in total Medicare Part B payments, serving 345 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1609855063

Luis UrbinaM.D.

Pulmonary DiseaseCookeville, TNI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

813

Unique beneficiaries

—

Total services

1,033

Distinct HCPCS

Medicare payment

$83K

Peer benchmark

Total Medicare services vs. 254 Pulmonary Disease providers in TN — above median (cohort median 889).

PRESCRIBING · PART D · 2024

Total Rx claims

653

Beneficiaries

—

Total drug cost

$430K

Distinct drugs

Brand share

88.8%

Top prescribed drugs

Fluticasone/Umeclidin/Vilanter201 claims

Albuterol Sulfate143 claims

Fluticasone/Vilanterol77 claims

Fluticasone Propion/Salmeterol28 claims

Prednisone21 claims

QUALITY · MIPS · 2024

Final MIPS score

88.5

Quality

77.0

Cost

70.2

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.57%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

Total received

$292

Payment records

By payment type

Food and Beverage$292

Top paying entities

Food and Beverage$292

REFERRAL NETWORK

Where Luis Urbina's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 90 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
JANDER, HARTWIG	198	786
GADSDEN REGIONAL MEDICAL CENTER LLC	128	442
Mazen Hakim Pulmonary Disease · Gadsden, AL	113	240
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	100	284
Hemant Sinha Internal Medicine · Ashville, AL	75	231
Radwan Mallah Hospitalist · Gadsden, AL	75	116
SOLSTAS LAB PARTNERS GROUP LLC	72	329
Wan Kwan Nephrology · Gadsden, AL	61	176
MONTIEL, DAVID	57	119
Ghanshyam Patel Cardiology · Gadsden, AL	55	131
Advantage Emergency Medical Services, Llc Ambulance Service Provider · Gadsden, AL	55	118
AFFINITY HOSPITAL LLC	53	146

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events