Conor F Lundergan, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

D0034663 Issued in MD

Practice address

12070 Old Line Ctr
Ste 303
Waldorf, MD 20602

Phone

(301) 475-3240

Fax

(301) 475-9740

NPI assigned

Nov 7, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)

Education

Georgetown University School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medstar Heart Institute LLCGroup PAC ID 5698932960, 308 clinicians

Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medstar Saint Mary'S Hospital Hospital, Leonardtown, MD, CCN 210028
• Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011

Merit-based Incentive Payment System (MIPS)

Final score

79.87 of 100Reported as group

Quality

58.83

Promoting interoperability

100

Improvement activities

40

Cost

74.06

Merit-based Incentive Payment System (MIPS)

Final score

85.94 of 100Reported as group

Quality

66.29

Promoting interoperability

100

Improvement activities

40

Cost

74.65

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• St. Mary'S Hospital of St. Mary'S County, Inc.

  • Community Based Hospice Care Agency
  • Callaway, MD
  • NPI 1790746444

  Corporate Director

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187

  DC

  Medicare reassignment Care Compare group NPD
• Medstar Heart Institute LLC

  • Surgery Physician
  • Washington, DC
  • NPI 1528345378

  Cardiovascular Disease, MD

  Medicare reassignment Care Compare group NPD
• Cardiology Associates, LLC

  • Specialist
  • Annapolis, MD
  • NPI 1396042719
  Medicare reassignment NPD
• Cardiology Associates, LLC

  • Specialist
  • Washington, DC
  • NPI 1972800399
  Medicare reassignment
• Cardiology Associates, LLC

  • Specialist
  • Washington, DC
  • NPI 1316244734
  NPD
• Medstar Medical Group II LLC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1376887844
  NPD
• Medstar Medical Group II LLC

  • Hospitalist Physician
  • Washington, DC
  • NPI 1770198301
  NPD
• Cardiology Associates, PC

  • Specialist
  • Washington, DC
  • NPI 1720009426
  NPD (past)
• Medical Faculty Associates, Inc

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1417990581
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Marys Hospital of St Marys County Inc

  • General Acute Care Hospital
  • Leonardtown, MD
  • NPI 1780650473
  Care Compare affiliation
• Medstar Washington Hospital Center

  • General Acute Care Hospital
  • Washington, DC
  • NPI 1548378235
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376524579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12070 OLD LINE CTR",
            "address_2": "STE 303",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "20602",
            "telephone_number": "301-475-3240",
            "fax_number": "301-475-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12070 OLD LINE CTR",
            "address_2": "STE 303",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "20602",
            "telephone_number": "301-475-3240",
            "fax_number": "301-475-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDERGAN",
        "first_name": "CONOR",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0034663",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DC",
            "license": "MD17986",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "29618",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "606188-03",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Love to Care
• Love to Care LLC
• Dionne Lucas, PA C
• Lulita Lucero-Ugalino, MD
• Luminous Embrace Health
• Bailey Hayes Lutz, DPT
• Luxottica of America Inc
• Luxottica of America Inc.
• Luxxery Corporation of Maryland
• Nghi Ly, DPT

• Cardiovascular Disease Physician in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Cardiovascular Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.