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LUCAS KNEWSTUB
NPI 1083103642
Emergency Medicine in Ithaca, NY

Active since May 08, 2018PECOS EnrolledAccepts Medicare Assignment
101 DATES DR, ITHACA, NY 14850(607) 274-4011 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2021, Jul 6, 2021, May 8, 2018 (3 updates tracked since 2018).

About Lucas Knewstub NPPES

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

LUCAS KNEWSTUB (NPI 1083103642) is an individual emergency medicine provider in Ithaca, New York, licensed in New York (308462) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Cayuga Medical Center At Ithaca, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2018).

NPPES Registry Identity

NPI1083103642
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameLUCAS KNEWSTUB
Location Address101 DATES DRIthaca, NY 14850-1383
Mailing Address101 Dates DrIthaca, NY 14850-1342
Phone(607) 274-4011
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2018
Enumeration DateMay 8, 2018
Last NPPES UpdateAugust 4, 20213 updates tracked since enumeration
NPPES CertifiedAugust 4, 2021
✔ NPI 1083103642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 308462
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
101 DATES DR, Ithaca, NY 14850
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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 Knewstub 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 ID6204238306
PECOS Enrollment IDI20210713000162
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 4

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.
262 services246 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
172 services153 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.
42 services41 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
34 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Cayuga Medical Center At Ithaca

Acute Care Hospitals · Ithaca, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330307
Location101 Dates DriveIthaca, NY 14850 · Tompkins County
Emergency services Birthing friendly

Schuyler Hospital

Critical Access Hospitals · Montour Falls, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331313
Location220 Steuben StreetMontour Falls, NY 14865 · Schuyler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14850 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

PAUL EMERSON JONES PAC
Physician Assistant
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 274-4011
DR. KEITH GARRETT LAMBERT M.D.
Emergency Medicine
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 274-4011
DR. ANTHONY SANITO MD
Anesthesiology (Pain Medicine)
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 274-4011
KAREN L HENRY OTR/L
Occupational Therapist
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 274-4555
NO NAME GIVEN ERUM M.D
Psychiatry & Neurology (Psychiatry)
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 274-4011
SUZANNE DOZORETZ NP, RNFA
Nurse Practitioner (Family)
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 274-4011
DR. GRAHAM JAMES GORSLINE DNP CRNA
Nurse Anesthetist, Certified Registered
101 DATES DR
ITHACA, NY 14850
Tompkins County (762) 408-3230
PARKAVI KALAISELVAN MD
Student in an Organized Health Care Education/Training Program
101 DATES DR
ITHACA, NY 14850
Tompkins County (607) 252-3457

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 Knewstub's NPI number?

The NPI number for Lucas Knewstub is 1083103642. It was assigned to this individual provider in the NPPES registry on May 8, 2018.

Where is Lucas Knewstub located?

Lucas Knewstub practices at 101 Dates Dr, Ithaca, NY 14850. The listed phone number is (607) 274-4011.

What is Lucas Knewstub's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Lucas Knewstub enrolled in Medicare?

Yes. Lucas Knewstub 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.

Is Lucas Knewstub affiliated with any hospitals?

According to CMS data, Lucas Knewstub is affiliated with Cayuga Medical Center At Ithaca and Schuyler Hospital.

When was this NPI record last updated?

The NPPES record for Lucas Knewstub was last updated on August 4, 2021. 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.