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DR. LUCAS J POLICASTRO MD
NPI 1013442177
Internal Medicine in Rincon, GA

Active since April 26, 2017PECOS EnrolledAccepts Medicare Assignment
78.41/100
CMS Quality Rating
302 W 5TH ST, RINCON, GA 31326(201) 497-0053(201) 831-9100 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 30, 2020, Jul 27, 2020, Jul 23, 2020 and 3 more (6 updates tracked since 2017).

About Dr. Lucas J Policastro Md NPPES

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

DR. LUCAS J POLICASTRO MD (NPI 1013442177) is an individual internal medicine provider in Rincon, Georgia, licensed in Georgia (84180) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Tift Regional Medical Center, and is a graduate of State University Of New York Downstate Medical Center (2017).

NPPES Registry Identity

NPI1013442177
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. LUCAS J POLICASTROCredential: MD
Location Address302 W 5TH STRincon, GA 31326-8801
Mailing Address302 W 5th StRincon, GA 31326-8801 · (201) 497-0053 · Fax (201) 831-9100
Phone(201) 497-0053
Fax(201) 831-9100
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2017
Enumeration DateApril 26, 2017
Last NPPES UpdateOctober 30, 20206 updates tracked since enumeration
NPPES CertifiedOctober 30, 2020
✔ NPI 1013442177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 84180
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
302 W 5TH ST, Rincon, GA 31326
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Dr. Lucas J Policastro Md 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 ID1951720184
PECOS Enrollment IDI20201007001749
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 3

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
54 services53 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
28 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services11 patients

Hospital Affiliations CMS Care Compare

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

Tift Regional Medical Center

Acute Care Hospitals · Tifton, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110095
Location901 E 18th StreetTifton, GA 31793 · Tift County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31326 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

78.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.68
Promoting Interoperability100
Improvement Activities40
Cost66.15

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 Policastro's NPI number?

The NPI number for Lucas Policastro is 1013442177. It was assigned to this individual provider in the NPPES registry on April 26, 2017.

Where is Lucas Policastro located?

Lucas Policastro practices at 302 W 5th St, Rincon, GA 31326. The listed phone number is (201) 497-0053.

What is Lucas Policastro's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lucas Policastro enrolled in Medicare?

Yes. Lucas Policastro 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 Policastro accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Lucas Policastro 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 Lucas Policastro affiliated with any hospitals?

According to CMS data, Lucas Policastro is affiliated with Tift Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Lucas Policastro was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.