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LUCAS JAMES MCARTHUR M.D.
NPI 1013150077
Family Medicine in Stony Brook, NY

Active since April 07, 2009PECOS EnrolledAccepts Medicare Assignment
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T14, STONY BROOK, NY 11794(631) 444-2754(631) 444-6031 Get Directions Write a Review

NPPES record last updated: April 25, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lucas James Mcarthur M.d. NPPES

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

LUCAS JAMES MCARTHUR M.D. (NPI 1013150077) is an individual family medicine provider in Stony Brook, New York, licensed in Florida (ME126627) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1013150077
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLUCAS JAMES MCARTHURCredential: M.D.
Location AddressSTONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T14Stony Brook, NY 11794-7148
Mailing Address13610 Bruce B Downs BlvdTampa, FL 33613-4650 · (813) 977-2777
Phone(631) 444-2754
Fax(631) 444-6031
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 7, 2009
Last NPPES UpdateApril 25, 2016
✔ NPI 1013150077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME126627
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
STONY BROOK UNIVERSITY HOSPITAL, Stony Brook, NY 11794
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lucas James Mcarthur M.d. 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 ID2860705340
PECOS Enrollment IDI20160418001526
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 9

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
130 services130 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
79 services71 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
30 services15 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
27 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

DR. BENJAMIN RICHARD HODSON M.D.
Emergency Medicine
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T9
STONY BROOK, NY 11794
Suffolk County (631) 444-2754
JEFF SEAN CHUANG MD
Student in an Organized Health Care Education/Training Program
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE
STONY BROOK, NY 11794
Suffolk County (631) 444-2754
MISS SARAH ROSE PESTIEAU M.D.
Internal Medicine
STONY BROOK UNIVERSITY HOSPITAL, DEPARTMENT OF MEDICINE HSC-T16 020
STONY BROOK, NY 11794
Suffolk County (631) 444-1106
DR. ELAINE FOX M.D.
Student in an Organized Health Care Education/Training Program
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T14
STONY BROOK, NY 11794
Suffolk County (631) 444-2754
DR. LAWRENCE WILLIAM KELLY JR. MD
Emergency Medicine
STONY BROOK UNIVERSITY HOSPITAL, DEPARTMENT OF EMERGENCY MEDICINE, HSC, L-4, ROOM 080
STONY BROOK, NY 11794
Suffolk County (631) 444-3880
MRS. SUZETTE CATHERINE SMOOKLER M.S., R.D., CDN
Dietitian, Registered
STONY BROOK UNIVERSITY HOSPITAL, NICOLLS ROAD, LEVEL 1 RM 747
STONY BROOK, NY 11794
Suffolk County (631) 444-7757
MRS. JANINE ELIZABETH ROMEO RPA-C
Physician Assistant
STONY BROOK UNIVERSITY HOSPITAL, 1 EDMUND PELLIGRINO DRIVE
STONY BROOK, NY 11794
Suffolk County (631) 444-1444
ELISHA A RAMOS RPAC
Physician Assistant
STONY BROOK UNIVERSITY HOSPITAL, HSCT-19, ROOM 040
STONY BROOK, NY 11794
Suffolk County (631) 444-2209

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 Lucas Mcarthur's NPI number?

The NPI number for Lucas Mcarthur is 1013150077. It was assigned to this individual provider in the NPPES registry on April 7, 2009.

Where is Lucas Mcarthur located?

Lucas Mcarthur practices at Stony Brook University Hospital Medical Staff Office T14, Stony Brook, NY 11794. The listed phone number is (631) 444-2754.

What is Lucas Mcarthur's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lucas Mcarthur enrolled in Medicare?

Yes. Lucas Mcarthur 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.

What insurance does Lucas Mcarthur accept?

Health plans from Molina Healthcare list Lucas Mcarthur 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.

When was this NPI record last updated?

The NPPES record for Lucas Mcarthur was last updated on April 25, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.