LANE D LOOKA FNP
NPI 1003047325
Nurse Practitioner - Family in Corpus Christi, TX

Active since August 04, 2009PECOS EnrolledAccepts Medicare Assignment
15217 S PADRE ISLAND DR STE 210E, CORPUS CHRISTI, TX 78418(361) 281-3294(361) 229-3271 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lane D Looka Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LANE D LOOKA FNP (NPI 1003047325) is an individual family provider in Corpus Christi, Texas, licensed in Texas (1087481) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Palacios Community Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1003047325
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameLANE D LOOKACredential: FNP
Location Address15217 S PADRE ISLAND DR STE 210ECorpus Christi, TX 78418-6196
Mailing Address15217 S Padre Island Dr Ste 210eCorpus Christi, TX 78418-6196 · (361) 281-3294 · Fax (361) 229-3271
Fax(361) 229-3271
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 4, 2009
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1003047325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TX · 1087481✔ Licensed in CO · NP 10074✔ Licensed in CO · APN.0010074-NP
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 165719 (CO), 651431 (TX)
Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License APN.0010074-NP (CO)
15217 S PADRE ISLAND DR STE 210E, Corpus Christi, TX 78418

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lane D Looka Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234275223
PECOS Enrollment IDI20251029001003
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

12

Medicare enrollment records show Lane Looka reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
506 E SAN ANTONIO ST
Victoria, TX 77901
  • Reassigned Medicare billing, Texas enrollment
  • 153 clinicians in this Medicare group
Emergency Medicine
1110 N SARAH DEWITT DR
Gonzales, TX 78629
  • Reassigned Medicare billing, Texas enrollment
  • 430 clinicians in this Medicare group
Internal Medicine
304 S 5TH ST
Carrizo Springs, TX 78834
  • Reassigned Medicare billing, Texas enrollment
  • Also billed through NPI 1326134255 (Texas)
  • 57 clinicians in this Medicare group
Surgical Critical Care
22999 HWY 59 N
Kingwood, TX 77339
  • Reassigned Medicare billing, Texas enrollment
  • 99 clinicians in this Medicare group
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,338 clinicians in this Medicare group
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Texas enrollment
  • 1,439 clinicians in this Medicare group
Nursing Facility/Intermediate Care Facility
1208 LUTHER STREET
Eads, CO 81036
  • Reassigned Medicare billing, Colorado enrollment
  • 16 clinicians in this Medicare group
Rural Health
907 7TH ST
Alma, NE 68920
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1124035225 (Nebraska)
  • 31 clinicians in this Medicare group
Physical Therapist
700 MAIN ST
Wray, CO 80758
  • Reassigned Medicare billing, Colorado enrollment
  • 57 clinicians in this Medicare group
Medical Oncology
601 W LEOTA ST
North Platte, NE 69101
  • Reassigned Medicare billing, Nebraska enrollment
  • 365 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
74 services73 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
63 services61 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
27 services18 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
20 services20 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Palacios Community Medical Center

Critical Access Hospitals · Palacios, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451332
Location311 Green AvenuePalacios, TX 77465 · Matagorda County
Emergency services

Dimmit Regional Hospital

Critical Access Hospitals · Carrizo Springs, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number451390
Location704 Hospital DriveCarrizo Springs, TX 78834 · Dimmit County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78418 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
45%44 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
46%108 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
23%40 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%1,422 patients3/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
46%343 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
92%212 patients4/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
77%343 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%343 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
14%343 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
1 supplier11 claims33 services$42.74 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier16 claims93 services$3.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lane Looka's NPI number?

The NPI number for Lane Looka is 1003047325. It was assigned to this individual provider in the NPPES registry on August 4, 2009.

Where is Lane Looka located?

Lane Looka practices at 15217 S Padre Island Dr Ste 210E, Corpus Christi, TX 78418. The listed phone number is (361) 281-3294.

What is Lane Looka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lane Looka enrolled in Medicare?

Yes. Lane Looka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lane Looka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lane Looka reassigns Medicare benefits to 12 organizations: Victoria Emergency Associates LLC (Victoria, TX), Victoria Emergency Partners LLC (Gonzales, TX), Dimmit Regional Hospital (Carrizo Springs, TX), Urgent Specialty Associates Of Texas, PLLC (Kingwood, TX), Concord Medical Group PLLC (Lubbock, TX) and 7 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lane Looka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lane Looka accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan and 1 other insurer list Lane Looka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lane Looka affiliated with any hospitals?

According to CMS data, Lane Looka is affiliated with Palacios Community Medical Center and Dimmit Regional Hospital.

When was this NPI record last updated?

The NPPES record for Lane Looka was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.