LUCA LACKORE PAC
NPI 1003435785
Physician Assistant in North Richland Hills, TX

Q: What is Luca Lackore's NPI number?

The NPI number for Luca Lackore is 1003435785. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Q: What is Luca Lackore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Luca Lackore was last updated on March 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 13, 2020PECOS Enrolled

4401 BOOTH CALLOWAY RD, NORTH RICHLAND HILLS, TX 76180(817) 255-1000 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2026, Apr 13, 2020 (2 updates tracked since 2020).

On this page

About Luca Lackore Pac NPPES

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

LUCA LACKORE PAC (NPI 1003435785) is an individual physician assistant in North Richland Hills, Texas, licensed in Texas (PA13650) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1003435785

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLUCA LACKORECredential: PAC

Location Address4401 BOOTH CALLOWAY RDNorth Richland Hills, TX 76180-7371

Mailing Address5732 Caruth BlvdDallas, TX 75209-3534

Phone(817) 255-1000

Sole ProprietorNo

Enumeration DateApril 13, 2020

Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration

NPPES CertifiedMarch 4, 2026

✔ NPI 1003435785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA13650

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4401 BOOTH CALLOWAY RD, North Richland Hills, TX 76180

Open in Google Maps ↗

Secondary Practice Location 1

Location 15732 Caruth BlvdDallas, TX 75209-3534 · Phone (972) 974-1495

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luca Lackore Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims

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.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76180 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIMONE C HESSON PA

Physician Assistant