Luis R. Urbina, M.D.
Pulmonary Disease Physician · Cookeville, TN
Luis R. Urbina, M.D. is a pulmonary disease physician with a practice address in Cookeville, Tennessee, and NPI 1609855063, issued on Jan 13, 2006. Check the license (Tennessee 58378, as entered in NPPES) on the Tennessee Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Luis R. Urbina
- Credential
- M.D.
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License numbers
- 58378 TN
00017313 AL
17313 AL
Self-reported in NPPES; status is on the state search - Practice location
- 145 W 4TH St Ste 201, Cookeville, TN 38501
- Phone
- (931) 783-2143
- Enumerated
- Jan 13, 2006
- Record last updated
- Jul 8, 2022
- Fax
- (931) 783-2152
- Medicaid ID
- 000085402 AL
- Medicare enrollment
- Enrolled (PECOS I20190201000900); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 359 in Tennessee → Look up another NPI →
Also registered at 145 W 4TH St Ste 201
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Gail Cook, APRNAdult Health Nurse Practitioner1346524279
- Pamela Dobbs, PA-CPhysician Assistant1053416156
- Mary Lou Fornehed, ACNP, BCAcute Care Nurse Practitioner1083647275
- Randy Gaw, MDNeurology Physician1669406500
- Bernadette Hee, M.D.Pulmonary Disease Physician1902839806
- David Henson, M.D.Sleep Medicine (Internal Medicine) Physician1801899224
Verify Luis R. Urbina in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTennessee Board of Medical Examiners
Search for license 58378Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
47% fewer Medicare Part D claims than the average pulmonary disease physician in 2024
750 Medicare Part D claims for 169 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 64% of claims.
Most prescribed
- Trelegy Ellipta201 claims
- Albuterol Sulfate Hfa143 claims
- Breo Ellipta77 claims
- Fluticasone-Salmeterol28 claims
- Prednisone21 claims
- Serevent Diskus20 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 53.5 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $423.51
3 payments; by number, the most common kind was travel and lodging; the largest payer was Intuitive Surgical, Inc. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Cookeville Regional Medical Group IncCookeville, TN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Luis R. Urbina among 359 pulmonary disease physician records in Tennessee
Luis R. Urbina, M.D. is one of 359 pulmonary disease physician records with a practice address in Tennessee. 89% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 15% of them.
- NPI issued2006 · 15% of these records are older, 46% newer
- In a Medicare fileYes · 89% of these records are
- In the CMS Doctors and Clinicians fileYes · 80% of these records are
- Graduated1982 · median 2003 among the 288 with a school on file
- Record last updated2022 · 38% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pulmonary Disease Physician providers in Tennessee
There are 359 pulmonary disease physician records in Tennessee.
All 359 in Tennessee → Every provider in Cookeville → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Bernadette Hee, M.D.Cookeville, TN 385011902839806
- Douglas Kane, M.D.Cookeville, TN 385011659306611
- Gowthami Kobbari, MDCookeville, TN 385011376061226
- Hima Kona, MDCookeville, TN 385011982800603
- Vijay Rupanagudi, MDCookeville, TN 385011649290404
- Louis Vossel, M.D.Cookeville, TN 385011609969294
- Jon Freels, M.D.Columbia, TN 384011336200385
- John Jensen, M.D.Columbia, TN 384011124246681
Common questions
What is Luis R. Urbina, M.D.'s NPI number?
Luis R. Urbina, M.D.'s National Provider Identifier (NPI) is 1609855063, issued on Jan 13, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Luis R. Urbina, M.D. located?
The NPPES record lists a practice address at 145 W 4TH St Ste 201, Cookeville, TN, 38501. Phone: (931) 783-2143. Providers update this record themselves, so call before visiting.
How can I verify Luis R. Urbina, M.D.'s license?
NPPES lists Tennessee license number 58378, as entered by the provider. Search the Tennessee Board of Medical Examiners at https://www.tn.gov/health/licensure/me.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Luis R. Urbina, M.D. prescribe under Medicare Part D?
In 2024, Luis R. Urbina, M.D. had 750 Medicare Part D claims for 169 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
What is Luis R. Urbina, M.D.'s MIPS final score?
The 2023 MIPS final score is 53.5 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.