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Lucia Tome, MD

Family Practice · Philadelphia

NPI 1760910467

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
8
2 carriers
Office
1
Since medical school
9 years
Perelman School of Med at the University of Pennsylvania, 2017

Offices

1 location · On Demand Urgent Care Group PC · 95 clinicians in this group

Looking this up.

Plans that list them

8 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Tome’s office at (215) 999-6060 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

8 of 8 plans

Plans whose provider directory lists this clinician
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
SCAN Balance (HMO C-SNP)SCAN Health PlanListedOct 3, 2026
SCAN Classic (HMO)SCAN Health PlanListedOct 3, 2026
SCAN MyChoice (HMO)SCAN Health PlanListedOct 3, 2026
SCAN Strive (HMO C-SNP)SCAN Health PlanListedOct 3, 2026

California Medical Board record

Licence A157266 · Delinquent

Licence status: Delinquent · since 2018 · expires 2024-07-31 · Perelman School of Medicine at the University of Pennsylvania.

License renewal fee has not been paid. No practice is permitted.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
76.5 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Medicaid work

$420,007 in 2024

Medicaid paid $420,007 for 3,155 billed services this clinician did in 2024, up to 91 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Clinic visit/encounter, all-inclusive1,759$419,079
Return visit (30+ min)1,191$778
Other evaluation and management service12$150
COLLECTION VENOUS BLOOD VENIPUNCTURE131$0
Short return visit (20+ min)50$0
Screening performed and positive and provision of recommendations12$0
Medicaid work by year
20243,155691$420,007
20232,118581$319,432
2022927943$104,381
202113112$3,956
2020900592$91,875
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive1,389$319,432
COLLECTION VENOUS BLOOD VENIPUNCTURE31$0
Short return visit (20+ min)155$0
Return visit (30+ min)527$0
Screening performed and positive and provision of recommendations16$0

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive148$87,712
1ST HOSP IP/OBS HIGH 75152$10,771
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES158$4,793
Short return visit (20+ min)248$925
Short return visit60$181
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)60$0
Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM)13$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)73$0
Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM)15$0

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive13$3,956

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive425$89,993
Short return visit (20+ min)374$1,699
Short return visit51$183
Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion32$0
Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion18$0

Drugs they prescribed that Part D paid

$219,142

Pharmacies billed $219,142 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 1% of their Part D prescriptions (29 of 2,476) in 2024. At or below the middle of the specialty; the typical family practice clinician is at 2%.

1,988 generic and 409 brand-name prescriptions · $219,142 in drug cost · 14 antibiotic prescriptions · 11 antipsychotic prescriptions to people over 65.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Trulicity33$31,425$952
Jardiance28$22,964$820
Linzess28$14,933$533
Ozempic13$12,380$952
Januvia14$9,009$643
See all 59 drugs
Every Part D drug this clinician prescribed
Trulicity33$31,425$952
Jardiance28$22,964$820
Linzess28$14,933$533
Ozempic13$12,380$952
Januvia14$9,009$643
Buprenorphine-Naloxone53$7,987$151
Farxiga13$7,546$580
Suboxone18$6,033$335
Breo Ellipta13$5,230$402
Dulera15$4,984$332
Albuterol Sulfate Hfa163$3,667$22
Lantus Solostar28$2,543$91
Symbicort11$2,476$225
Atorvastatin161$1,620$10
Fluticasone Propionate120$1,538$13
Montelukast75$1,197$16
Fluticasone-Salmeterol13$1,014$78
Gabapentin138$958$7
Losartan60$749$12
Ultra-Fine Nano Pen Needle12$730$61
Metformin123$725$6
Losartan-Hydrochlorothiazide35$685$20
Olmesartan Medoxomil12$665$55
Amlodipine Besylate54$547$10
Famotidine65$526$8
Omeprazole45$431$10
Rosuvastatin29$416$14
Donepezil26$406$16
Pravastatin23$395$17
Ketoconazole18$375$21
Levothyroxine35$342$10
Memantine14$315$23
Metoprolol21$288$14
Naproxen39$278$7
Mirtazapine24$250$10
Duloxetine22$243$11
Tamsulosin18$215$12
Lisinopril-Hydrochlorothiazide18$200$11
Lisinopril67$189$3
Clonazepam25$181$7
Allopurinol24$165$7
Escitalopram29$157$5
Hydrochlorothiazide39$155$4
Hydroxyzine18$131$7
Ibuprofen15$127$8
Metformin Hcl Er16$122$8
Atenolol15$119$8
Hydrocortisone16$99$6
Pantoprazole11$95$9
Trazodone19$94$5
Pregabalin15$89$6
Simvastatin16$83$5
Endocet11$73$7
Quetiapine11$72$7
Levocetirizine Dihydrochloride11$63$6
Alcohol Swabs11$50$5
Meloxicam11$45$4
Metoprolol18$40$2
Ropinirole14$15$1

Year by year

Part D prescribing by year
20242,4762311% (29)17%$219,142
20231,019131None13%$81,925
202277350% (0)None$4,012
2021476690% (0)None$53,035
202051071None20%$56,787
201939759NoneNone$31,719
2018752319% (14)None$1,879

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 23 drugs

Part D drugs prescribed in 2023
Symbicort22$8,423$383
Farxiga11$6,035$549
Buprenorphine-Naloxone24$5,437$227
Omega-3 Acid Ethyl Esters27$1,709$63
Albuterol Sulfate Hfa25$788$32
Atorvastatin72$757$11
Ventolin Hfa11$675$61
Fluticasone Propionate67$654$10
Levothyroxine26$537$21
Duloxetine30$444$15
Metoprolol24$402$17
Amlodipine Besylate31$400$13
Gabapentin32$271$8
Pantoprazole26$251$10
Metformin48$245$5
Famotidine29$205$7
Losartan21$191$9
Tamsulosin17$177$10
Mirtazapine12$173$14
Rosuvastatin11$133$12
Lisinopril29$112$4
Alcohol Swabs12$65$5
Hydrochlorothiazide26$50$2

2021: 8 drugs

Part D drugs prescribed in 2021
Buprenorphine-Naloxone128$12,143$95
Lamotrigine Er11$2,265$206
Bupropion Xl21$938$45
Buprenorphine32$677$21
Trazodone18$293$16
Amlodipine Besylate28$170$6
Gabapentin14$157$11
Clonidine16$88$5

2020: 16 drugs

Part D drugs prescribed in 2020
Januvia27$17,562$650
Promethegan12$6,495$541
Basaglar Kwikpen U-10013$6,376$490
Pravastatin18$366$20
Gabapentin14$276$20
Atorvastatin19$223$12
Losartan15$199$13
Fluticasone Propionate13$194$15
Metformin31$194$6
Amlodipine Besylate37$169$5
Alendronate15$155$10
Lisinopril19$136$7
Omeprazole23$121$5
Clopidogrel12$83$7
Ibuprofen12$78$6
Glipizide15$48$3

2019: 11 drugs

Part D drugs prescribed in 2019
Novolog11$3,348$304
Ventolin Hfa14$1,780$127
Gabapentin19$475$25
Cephalexin11$275$25
Lisinopril22$209$10
Amlodipine Besylate23$206$9
Pravastatin15$182$12
Fluticasone Propionate14$171$12
Metformin26$137$5
Atorvastatin11$78$7
Hydrochlorothiazide17$46$3

2018: 1 drug

Part D drugs prescribed in 2018
Hydrocodone-Acetaminophen14$420$30

Professional record

NPI
1760910467
Licence
CA A157266, PA MD479928California A157266: Delinquent · expires 2024-07-31
Trained
Perelman School of Med at the University of Pennsylvania, 2017 · 9 years ago
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Family medicine (207Q00000X); Federal specialty code 207QA0401X (207QA0401X)
Mailing address
1412 Fairmount Ave, Philadelphia, PA, 19130
NPI first listed
2017-05-25
NPI last updated
2023-08-02
NPI record certified
2023-08-02

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 300 Pasteur Dr, Stanford, CA, 94305