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DR. PATRICIO DANIEL LUCIO MD
NPI 1245717842
Internal Medicine in Shreveport, LA

Active since July 26, 2018PECOS EnrolledAccepts Medicare Assignment
653 W 70TH ST, SHREVEPORT, LA 71106(318) 636-8389 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2025, Sep 17, 2025, Sep 4, 2025 and 1 more (4 updates tracked since 2018).

About Dr. Patricio Daniel Lucio Md NPPES

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

DR. PATRICIO DANIEL LUCIO MD (NPI 1245717842) is an individual internal medicine provider in Shreveport, Louisiana, licensed in Louisiana (327773) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1245717842
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PATRICIO DANIEL LUCIOCredential: MD
Location Address653 W 70TH STShreveport, LA 71106-2949
Mailing AddressPo Box 740012Atlanta, GA 30374-0012 · Fax (318) 319-2151
Phone(318) 636-8389
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 26, 2018
Last NPPES UpdateNovember 6, 20254 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1245717842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · 327773
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
653 W 70TH ST, Shreveport, LA 71106
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Dr. Patricio Daniel Lucio Md 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 ID2365844685
PECOS Enrollment IDI20210709000239
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71106 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 6

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

MS. ALESHA N KINGSBY
Nurse Practitioner (Family)
653 W 70TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 636-8389
ELISCHA BROWN FNP
Nurse Practitioner (Family)
653 W 70TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 636-8389
KECHIA BREEDLOVE
Counselor (Professional)
653 W 70TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 636-8389
JOSHUA PHILLIP WHITE FNP-C
Nurse Practitioner (Family)
653 W 70TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 636-8389
DR. BYRON ANDRA JACKSON MD
Internal Medicine
653 W 70TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 636-8389
DR. TRICIA QUINN TEBBOTH M.D.
Family Medicine
653 W 70TH ST
SHREVEPORT, LA 71106
Caddo Parish (318) 636-8389

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 Patricio Lucio's NPI number?

The NPI number for Patricio Lucio is 1245717842. It was assigned to this individual provider in the NPPES registry on July 26, 2018.

Where is Patricio Lucio located?

Patricio Lucio practices at 653 W 70th St, Shreveport, LA 71106. The listed phone number is (318) 636-8389.

What is Patricio Lucio's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Patricio Lucio enrolled in Medicare?

Yes. Patricio Lucio 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 Patricio Lucio was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.