MR. ANTHONY JARED LUCCA PA-C
NPI 1386068955
Physician Assistant in Springfield, IL

Active since February 18, 2014PECOS EnrolledAccepts Medicare Assignment
701 N 1ST ST, SPRINGFIELD, IL 62781(217) 788-3156(217) 788-6459 Get Directions Write a Review

NPPES record last updated: February 18, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Anthony Jared Lucca Pa-c NPPES

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

MR. ANTHONY JARED LUCCA PA-C (NPI 1386068955) is an individual physician assistant in Springfield, Illinois and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1386068955
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ANTHONY JARED LUCCACredential: PA-C
Location Address701 N 1ST STSpringfield, IL 62781-0001
Mailing Address1119 Interlacken RdSpringfield, IL 62704-2129 · (217) 622-5975
Fax(217) 788-6459
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 18, 2014
NPI 1386068955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
701 N 1ST ST, Springfield, IL 62781

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. Anthony Jared Lucca Pa-c 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 ID5597997999
PECOS Enrollment IDI20140417001931
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

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 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.
24 services11 patients

Hospital Affiliations CMS Care Compare

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62781 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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 20

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

Pharmacist (Critical Care)
701 N 1ST ST
SPRINGFIELD, IL 62781
Radiology (Radiological Physics)
701 N 1ST ST
SPRINGFIELD, IL 62781
Nurse Anesthetist, Certified Registered
701 N 1ST ST
SPRINGFIELD, IL 62781
Hospice Care, Community Based
701 N 1ST ST
SPRINGFIELD, IL 62781
Hospitalist
701 N 1ST ST
SPRINGFIELD, IL 62781
Nurse Anesthetist, Certified Registered
701 N 1ST ST, ANESTHESIA DEPARTMENT
SPRINGFIELD, IL 62781
Nurse Anesthetist, Certified Registered
701 N 1ST ST
SPRINGFIELD, IL 62781
Clinic/Center (Multi-Specialty)
701 N 1ST ST
SPRINGFIELD, IL 62781

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 Anthony Lucca's NPI number?

The NPI number for Anthony Lucca is 1386068955. It was assigned to this individual provider in the NPPES registry on February 18, 2014.

Where is Anthony Lucca located?

Anthony Lucca practices at 701 N 1st St, Springfield, IL 62781. The listed phone number is (217) 788-3156.

What is Anthony Lucca's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Anthony Lucca enrolled in Medicare?

Yes. Anthony Lucca 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.

Is Anthony Lucca affiliated with any hospitals?

According to CMS data, Anthony Lucca is affiliated with Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Anthony Lucca was last updated on February 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.