LISA W LUCAS D.O.
NPI 1104156769
Family Medicine in Freeport, ME

Active since January 05, 2010Opted out of Medicare · through Apr 1, 2028
42 MALLETT DR STE 3, FREEPORT, ME 04032(207) 869-5815 Get Directions Write a Review

NPPES record last updated: February 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa W Lucas D.o. NPPES

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

LISA W LUCAS D.O. (NPI 1104156769) is an individual family medicine provider in Freeport, Maine, licensed in Maine (DO2648) and active in the NPI registry since January 2010. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104156769
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLISA W LUCASCredential: D.O.
Location Address42 MALLETT DR STE 3Freeport, ME 04032-1355
Mailing Address42 Mallett Dr Ste 3Freeport, ME 04032-1355 · (207) 869-5815
Sole ProprietorYes
Enumeration DateJanuary 5, 2010
Last NPPES UpdateFebruary 16, 2020
NPI 1104156769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ME · DO2648
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.
42 MALLETT DR STE 3, Freeport, ME 04032

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Lisa W Lucas D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2020 through April 1, 2028.

Opt-Out Effective DateApril 1, 2020
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04032 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

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 Lisa Lucas's NPI number?

The NPI number for Lisa Lucas is 1104156769. It was assigned to this individual provider in the NPPES registry on January 5, 2010.

Where is Lisa Lucas located?

Lisa Lucas practices at 42 Mallett Dr Ste 3, Freeport, ME 04032. The listed phone number is (207) 869-5815.

What is Lisa Lucas's specialty?

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

Is Lisa Lucas enrolled in Medicare?

No. Lisa Lucas has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Lisa Lucas accept?

Health plans from Molina Healthcare list Lisa Lucas 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 Lisa Lucas was last updated on February 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.