NPI registry status
Active
2026 NPPES data Surgical Critical Care Physician NPI 1528420296 MD
Verify on CMS → Derek Lumbard, MD
Surgical Critical Care Physician in Minneapolis, Minnesota.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,468 in Surgical Critical Care Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
54
Medicare Part D claims · 22 beneficiaries · Surgical Critical Care Physician avg: 86
MIPS score
91.4/100
▲ 8 pts above national avg 83.1 · Exceptional
Industry payments
$24.64
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Derek Lumbard, MD reported a CMS MIPS final score of 91.4/100 - above the 83.1 national average - and filed 54 Medicare Part D claims in 2023.
- 91.4/100
- MIPS score · +8 vs avg
- 54
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Derek Lumbard, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
91 Top 37% higher than 63% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Derek Lumbard, MD sits
This provider among surgical critical care physician peers
Across the 192 surgical critical care physician providers who report both Medicare Part D prescribing and a MIPS quality score, Derek Lumbard, MD writes more Part D claims than 73% of them and scores higher on MIPS quality than 58% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one surgical critical care physician peer from a representative sample of 60; the gold marker is Derek Lumbard, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Derek Lumbard, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Derek Lumbard, MD?
High performer (top quartile)Primary specialty
Surgical Critical Care Physician
Medicare Part D claims
54 37% vs specialty avg
MIPS final score
91.4/100 8.3 pts vs avg
Specialty distribution in Minnesota
How Surgical Critical Care Physician compares to other specialties among Minnesota providers
Medicare quality performance, MIPS
Derek Lumbard, MD's 2023 MIPS final score plotted against the Surgical Critical Care Physician national average
- MIPS Final Score
- 91.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Surgical Critical Care Physician) - 91.4/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Derek Lumbard, MD appears in the CMS NPPES registry as a Surgical Critical Care Physician provider holding MD credentials at 701 PARK AVE, Minneapolis, MN, 55415, with a listed phone of (612) 873-6963. NPI 1528420296 was issued on 03/22/2016.
Medicare Part D records for calendar year 2023 show 54 prescription claims written by this provider, covering 22 Medicare beneficiaries and totaling roughly $4K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.4/100 for the 2023 performance year (Quality 78.8, Cost 62.8), compared with the national average of 83.1.
Surgical Critical Care Physician is a narrow specialty nationwide, with 1,468 enrolled providers across 53 states and an average of 86 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1528420296 |
|---|---|
| Specialty | Surgical Critical Care Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 03/22/2016 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
91.4268
Final Score
Avg: 83.1
78.7821
Quality
62.8019
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Derek Lumbard, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Hennepin Healthcare System Inc
Minneapolis, MN
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Derek Lumbard, MD. Source: openpaymentsdata.cms.gov.
Total received
$25
Largest payer
Davol Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
54
Total Claims
$4K
Total Drug Cost
22
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 60
- Total Day Supply
- 1,091
- Generic Drug Cost
- $1K
Patient Demographics
- Average Patient Age
- 69.7 years
- Avg HCC Risk Score
- 1.57
Surgical Critical Care Physician Overview
How Derek Lumbard, MD fits within the Surgical Critical Care Physician landscape nationally.
1,468
Surgical Critical Care Physician Providers in US
53
States with Surgical Critical Care Physician
86
Avg Claims per Provider
Derek Lumbard, MD's 54 claims are below the specialty average of 86.
Nearby Surgical Critical Care Physician Providers in Minnesota
Other clinicians with the same primary specialty enrolled in Minnesota, drawn from the same CMS NPPES roster as Lumbard.
Dr. Roderick Barke
M.D.
Minneapolis, MN
Dr. Gregory Beilman
MD
Minneapolis, MN
Dr. Maxwell Busch
M.D.
Minneapolis, MN
Dr. Joseph Carroll
MD
Minneapolis, MN
Dr. Helen Davido
MD
Minneapolis, MN
Compare Surgical Critical Care Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Minnesota medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Surgical Critical Care Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Derek Lumbard, MD's specialty? ▼
Derek Lumbard, MD specializes in Surgical Critical Care Physician and practices in Minneapolis, Minnesota. Credentials: MD.
How much does Derek Lumbard, MD prescribe under Medicare Part D? ▼
In 2023, Derek Lumbard, MD wrote 54 Medicare Part D claims totaling $4K in drug costs for 22 beneficiaries.
What is Derek Lumbard, MD's Medicare quality score? ▼
Derek Lumbard, MD has a CMS MIPS Final Score of 91.4/100 (Quality: 78.8, Cost: 62.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Derek Lumbard, MD located? ▼
Derek Lumbard, MD is located at 701 PARK AVE, Minneapolis, MN, 55415. Phone: (612) 873-6963.
What is Derek Lumbard, MD's NPI number? ▼
Derek Lumbard, MD's National Provider Identifier (NPI) is 1528420296, issued on 03/22/2016.
How many Surgical Critical Care Physician providers are there in the US? ▼
There are 1,468 Surgical Critical Care Physician providers across 53 states in the US. The average Surgical Critical Care Physician provider writes 86 Medicare Part D claims per year.
Does Derek Lumbard, MD accept Medicare? ▼
Derek Lumbard, MD appears in CMS Medicare data with 54 Part D claims and 22 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Derek Lumbard, MD's credentials? ▼
Derek Lumbard, MD's NPI is 1528420296 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.