MR. LUCAS A ACTON NP
NPI 1184222465
Nurse Practitioner - Family in Seymour, IN

Active since October 09, 2020PECOS EnrolledAccepts Medicare Assignment
90.14/100
CMS Quality Rating
411 W TIPTON ST, SEYMOUR, IN 47274(812) 523-4787(812) 523-4752 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 11, 2020, Oct 9, 2020 (2 updates tracked since 2020).

About Mr. Lucas A Acton Np NPPES

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

MR. LUCAS A ACTON NP (NPI 1184222465) is an individual family provider in Seymour, Indiana, licensed in Indiana (71010549A) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, is affiliated with Schneck Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1184222465
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. LUCAS A ACTONCredential: NP
Location Address411 W TIPTON STSeymour, IN 47274-2363
Mailing Address411 W Tipton StSeymour, IN 47274-2363 · (812) 523-7870
Fax(812) 523-4752
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 9, 2020
Last NPPES UpdateNovember 11, 20202 updates tracked since enumeration
NPPES CertifiedNovember 11, 2020
NPI 1184222465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71010549A
411 W TIPTON ST, Seymour, IN 47274

Accepted 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

Mr. Lucas A Acton Np 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 ID4789096140
PECOS Enrollment IDI20201209002061
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.

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.
102 services64 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.
41 services27 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.
16 services13 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Schneck Medical Center

Acute Care Hospitals · Seymour, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150065
Location411 W Tipton StSeymour, IN 47274 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47274 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

90.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.14
Promoting Interoperability93.3
Improvement Activities40

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.

Emergency Medicine
411 W TIPTON ST
SEYMOUR, IN 47274
Pharmacist
411 W TIPTON ST
SEYMOUR, IN 47274
Family Medicine
411 W TIPTON ST
SEYMOUR, IN 47274
Medicare Defined Swing Bed Unit
411 W TIPTON ST
SEYMOUR, IN 47274
Registered Nurse
411 W TIPTON ST
SEYMOUR, IN 47274
Pathology (Anatomic Pathology & Clinical Pathology)
411 W TIPTON ST
SEYMOUR, IN 47274
Surgery
411 W TIPTON ST
SEYMOUR, IN 47274
Nurse Anesthetist, Certified Registered
411 W TIPTON ST
SEYMOUR, IN 47274

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 Acton's NPI number?

The NPI number for Lucas Acton is 1184222465. It was assigned to this individual provider in the NPPES registry on October 9, 2020.

Where is Lucas Acton located?

Lucas Acton practices at 411 W Tipton St, Seymour, IN 47274. The listed phone number is (812) 523-4787.

What is Lucas Acton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lucas Acton enrolled in Medicare?

Yes. Lucas Acton 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 Acton accept?

Health plans from CareSource list Lucas Acton 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 Acton affiliated with any hospitals?

According to CMS data, Lucas Acton is affiliated with Schneck Medical Center.

When was this NPI record last updated?

The NPPES record for Lucas Acton was last updated on November 11, 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.