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DR. LUCAS E WILMORE
NPI 1215399092
Family Medicine - Addiction Medicine in Franklin, TN

Active since March 22, 2016PECOS Enrolled
76.78/100
CMS Quality Rating
143 SE PARKWAY CT, FRANKLIN, TN 37064(615) 790-0567 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 28, 2026, Aug 1, 2019, Jul 11, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Lucas E Wilmore NPPES

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

DR. LUCAS E WILMORE (NPI 1215399092) is an individual addiction medicine provider in Franklin, Tennessee, licensed in Tennessee (3763) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and is a graduate of Edward Via Col Of Osteo Medicine-carolinas Campus (2016).

NPPES Registry Identity

NPI1215399092
Entity TypeIndividualMale
Primary Taxonomy207QA0401X
Provider Legal NameDR. LUCAS E WILMORE
Location Address143 SE PARKWAY CTFranklin, TN 37064-3968
Mailing Address6041 Rural Plains Cir Ste 108Franklin, TN 37064-1955
Phone(615) 790-0567
Sole ProprietorYes
Medical School CMSEdward Via Col Of Osteo Medicine-carolinas CampusGraduated 2016
Enumeration DateMarch 22, 2016
Last NPPES UpdateJuly 28, 20264 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1215399092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in TN · 3763
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 3763 (TN)
143 SE PARKWAY CT, Franklin, TN 37064
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan, Ambetter from Meridian and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lucas E Wilmore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810286192
PECOS Enrollment IDI20191106000443, I20250421000511, I20250422001467, I20250422002610
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Lucas Wilmore reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health Services, Inc.
Same address
Federally Qualified Health Center (FQHC)
143 SE PARKWAY COURT
Franklin, TN 37064
  • Reassigned Medicare billing, Tennessee enrollment
  • 57 clinicians in this Medicare group
NPI 1952480501 (615) 790-0567
Family Health Group Inc
23 mi
Anesthesiology
854 W JAMES CAMPBELL BLVD
Columbia, TN 38401
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: Maury Regional Medical Group, Inc
  • 228 clinicians in this Medicare group
NPI 1134553878 (931) 540-4255
Pai Oh LLC
256 mi
Addiction Medicine
119 E COURT ST
Cincinnati, OH 45202
  • Reassigned Medicare billing, Ohio enrollment
  • 12 clinicians in this Medicare group
NPI 1043039142 (860) 322-6712
Pai Medical Wv PLLC
547 mi
Psychiatry
3058C CHARLES TOWN RD
Kearneysville, WV 25430
  • Reassigned Medicare billing, West Virginia enrollment
  • 25 clinicians in this Medicare group
NPI 1972323061 (860) 322-6712
Southtown Psychiatry PLLC
805 mi
Psychiatry
909 NE LOOP 410 STE 600
San Antonio, TX 78209
  • Reassigned Medicare billing, Indiana enrollment
  • 5 clinicians in this Medicare group
NPI 1457167702 (210) 343-5121
Pai Ct PLLC
860 mi
Addiction Medicine
101 CENTERPOINT DR STE 105
Middletown, CT 06457
  • Reassigned Medicare billing, Connecticut enrollment
  • 15 clinicians in this Medicare group
NPI 1841027653 (860) 322-6712
Pursuecare, LLC
860 mi
Addiction Medicine
101 CENTERPOINT DR STE 105
Middletown, CT 06457
  • Reassigned Medicare billing, Kentucky, Ohio and West Virginia enrollments
  • 22 clinicians in this Medicare group
NPI 1962068296 (860) 322-6712

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37064 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

76.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.24
Promoting Interoperability100
Improvement Activities40
Cost54.37

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers23 claims23 services$19.22 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$107.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TANISHA N HAYNES LCSW
Social Worker (Clinical)
143 SE PARKWAY CT
FRANKLIN, TN 37064
Williamson County (615) 790-0567
SAVANNAH BELL
Nurse Practitioner (Family)
143 SE PARKWAY CT
FRANKLIN, TN 37064
Williamson County (615) 790-0567
RICHARD F. YADON JR.
Nurse Practitioner (Psychiatric/Mental Health)
143 SE PARKWAY CT
FRANKLIN, TN 37064
Williamson County (615) 790-0567
JAMES PINTO
Counselor (Mental Health)
143 SE PARKWAY CT
FRANKLIN, TN 37064
Williamson County (615) 790-0567
JULIE MICHELLE SUGGS KEATON LPC-MHSP
Counselor (Mental Health)
143 SE PARKWAY CT
FRANKLIN, TN 37064
Williamson County (615) 790-0567
KWAME FRIMPONG M.D.
Family Medicine
143 SE PARKWAY CT
FRANKLIN, TN 37064
Williamson County (615) 790-0567
KATE DYLESKI
Marriage & Family Therapist
143 SE PARKWAY CT
FRANKLIN, TN 37064
Williamson County (615) 790-0567
STEVEN NEELY
Counselor (Mental Health)
143 SE PARKWAY CT
FRANKLIN, TN 37064
Williamson County (615) 790-0567

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 Wilmore's NPI number?

The NPI number for Lucas Wilmore is 1215399092. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Lucas Wilmore located?

Lucas Wilmore practices at 143 SE Parkway Ct, Franklin, TN 37064. The listed phone number is (615) 790-0567.

What is Lucas Wilmore's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Lucas Wilmore enrolled in Medicare?

Yes. Lucas Wilmore is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lucas Wilmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lucas Wilmore reassigns Medicare benefits to 7 organizations: Mercy Health Services, Inc. (Franklin, TN), Family Health Group Inc (Columbia, TN), Pai Oh LLC (Cincinnati, OH), Pai Medical Wv PLLC (Kearneysville, WV), Southtown Psychiatry PLLC (San Antonio, TX) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lucas Wilmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lucas Wilmore accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Ambetter of Alabama and 9 other insurers list Lucas Wilmore 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 Lucas Wilmore was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.