Doctor profile · Federal record
Dr. Fawn Mumbulo, FNP-C
Family Nurse Practitioner (CMS: Nurse Practitioner) · Cooperstown, NY
- NPI 1720493984
- Accepts Medicare
- MIPS 88.0 / 100 · 2023
- 12 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1 Atwell RD
Cooperstown, NY 133261394
(607) 547-3480 - Additional location
-
20 Chapel St
Sherburne, NY 134609753
(607) 674-2445
fax (607) 674-4338
Credentials & registration
- NPI registered
- June 2014 — 12 yrs on file
- Profile last updated
- April 3, 2026
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- New York #F338835-1
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1720493984. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
150
Distinct HCPCS
3
Medicare allowed
$12,883
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 87 | 58 | $80 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 39 | 32 | $118 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 24 | 15 | $54 |
In context: peer comparison
Among 12 peers in this city , average services per provider: 78. This provider delivers 1.9× the peer median.Open Payments
Industry payments received
All-time total
$114
Transactions
5
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novartis Pharmaceuticals Corporation | 2 | $53.56 | |
| Kiniksa Pharmaceuticals International, plc | 1 | $27.68 | |
| E.R. Squibb & Sons, L.L.C. | 1 | $19.40 | |
| AstraZeneca Pharmaceuticals LP | 1 | $13.44 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
742
Patients
303
Total drug cost
$97,979
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Metoprolol Succinate | Generic | 130 | 56 | $2,480 |
| Atorvastatin Calcium | Generic | 71 | 36 | $1,582 |
| Eliquis (Apixaban) | Brand | 70 | 27 | $87,584 |
| Lisinopril | Generic | 69 | 25 | $514 |
| Amlodipine Besylate | Generic | 61 | 22 | $585 |
| Losartan Potassium | Generic | 61 | 31 | $1,097 |
| Furosemide | Generic | 49 | 22 | $264 |
| Carvedilol | Generic | 44 | 17 | $663 |
| Pravastatin Sodium | Generic | 33 | 13 | $472 |
| Warfarin Sodium | Generic | 33 | 0 | $163 |
Hospital affiliations
Frequently asked questions
What is Dr. Fawn Mumbulo's medical specialty?
Dr. Fawn Mumbulo practices Family Nurse Practitioner in Cooperstown, NY.
Where does Dr. Fawn Mumbulo practice?
Dr. Fawn Mumbulo practices at 1 Atwell RD, Cooperstown, NY 133261394. Office phone: 6075473480.
What is Dr. Fawn Mumbulo's NPI?
Dr. Fawn Mumbulo's National Provider Identifier (NPI) is 1720493984, issued by NPPES.
Does Dr. Fawn Mumbulo accept Medicare assignment?
Yes. Dr. Fawn Mumbulo accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Fawn Mumbulo commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99215); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.