LUCAS RAYMOND KING
NPI 1114216421
Orthopaedic Surgery - Sports Medicine in Santa Rosa, CA

Q: What is Lucas King's NPI number?

The NPI number for Lucas King is 1114216421. It was assigned to this individual provider in the NPPES registry on April 7, 2011.

Q: What is Lucas King's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Lucas King was last updated on December 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 07, 2011PECOS EnrolledAccepts Medicare Assignment

525 DOYLE PARK DR STE 101, SANTA ROSA, CA 95405(707) 525-6620(707) 522-1279 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2025, Jun 5, 2023, Jul 21, 2022 and 2 more (5 updates tracked since 2016).

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About Lucas Raymond King NPPES

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

LUCAS RAYMOND KING (NPI 1114216421) is an individual sports medicine provider in Santa Rosa, California, licensed in California (C185826) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Loma Linda University School Of Medicine (2011).

NPPES Registry Identity

NPI1114216421

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameLUCAS RAYMOND KING

Location Address525 DOYLE PARK DR STE 101Santa Rosa, CA 95405-4562

Mailing Address525 Doyle Park Dr Ste 101Santa Rosa, CA 95405-4562 · (707) 525-6620 · Fax (707) 522-1279

Phone(707) 525-6620

Fax(707) 522-1279

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2011

Enumeration DateApril 7, 2011

Last NPPES UpdateDecember 9, 20255 updates tracked since enumeration

NPPES CertifiedDecember 9, 2025

✔ NPI 1114216421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

Licenses✔ Licensed in CA · C185826✔ Licensed in CO · DR.0058676

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License DR.0058676 (CO), MD.35064 (AL)

525 DOYLE PARK DR STE 101, Santa Rosa, CA 95405

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Secondary Practice Locations 2

Location 11162 Montgomery Dr Ste 300Santa Rosa, CA 95405-4802 · Phone (707) 890-4250

Location 23676 Parker Blvd., Ste 310Pueblo, CO 81008-2215 · Phone (719) 595-7780 · Fax (719) 595-7789

Other Identifiers 1

Medicaid9000148102CO

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 Raymond King 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 ID8527346071

PECOS Enrollment IDI20230605001553

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 13

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

1,124 services122 patients

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325

Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.

816 services12 patients

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.

340 services340 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.

195 services144 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

152 services140 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.

36 services33 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

26 services26 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

24 services21 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

23 services18 patients

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.

23 services23 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.

21 services21 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

17 services16 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

11 services11 patients

Other Providers at the Same Location NPPES

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

KELLEY HILTON

Physician Assistant (Surgical)

525 DOYLE PARK DR STE 101
SANTA ROSA, CA 95405

Sonoma County (707) 525-6620

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 King's NPI number?

The NPI number for Lucas King is 1114216421. It was assigned to this individual provider in the NPPES registry on April 7, 2011.

Where is Lucas King located?

Lucas King practices at 525 Doyle Park Dr Ste 101, Santa Rosa, CA 95405. The listed phone number is (707) 525-6620.

What is Lucas King's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Lucas King enrolled in Medicare?

Yes. Lucas King 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.

When was this NPI record last updated?

The NPPES record for Lucas King was last updated on December 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.