DR. KENNETH GRANT LUCERO M.D.
NPI 1417079989
Family Medicine in Blythe, CA

Q: What is Kenneth Lucero's NPI number?

The NPI number for Kenneth Lucero is 1417079989. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Q: What is Kenneth Lucero's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Lucero was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since April 04, 2007PECOS Enrolled

80.15/100

CMS Quality Rating

1415 W HOBSONWAY, BLYTHE, CA 92225(760) 922-4981(760) 922-4442 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 14, 2025, Feb 17, 2023, Aug 3, 2022 (3 updates tracked since 2022).

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About Dr. Kenneth Grant Lucero M.d. NPPES

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

DR. KENNETH GRANT LUCERO M.D. (NPI 1417079989) is an individual family medicine provider in Blythe, California, licensed in California (G60508) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (1985).

NPPES Registry Identity

NPI1417079989

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KENNETH GRANT LUCEROCredential: M.D.

Location Address1415 W HOBSONWAYBlythe, CA 92225-1479

Mailing Address141 W Hobsonway Ste BBlythe, CA 92225-1616 · (760) 574-7787 · Fax (760) 921-3471

Phone(760) 922-4981

Fax(760) 922-4442

Sole ProprietorYes

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1985

Enumeration DateApril 4, 2007

Last NPPES UpdateFebruary 14, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2025

✔ NPI 1417079989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · G60508

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1415 W HOBSONWAY, Blythe, CA 92225

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Other Identifiers 1

Medicaid00G605082CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Grant Lucero M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113947060

PECOS Enrollment IDI20070605000594

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

Medicare enrollment records show Kenneth Lucero reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinicas De Salud Del Pueblo, Inc

Same address

Federally Qualified Health Center (FQHC)

1415 W HOBSONWAY
Blythe, CA 92225

Reassigned Medicare billing, California enrollment
135 clinicians in this Medicare group

NPI 1124115431 (760) 922-4981

Desert View Medical

0.9 mi

Family Medicine

205 N 1ST ST STE A
Blythe, CA 92225

Reassigned Medicare billing, California enrollment

NPI 1023394285 (760) 921-3474

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

Areas of Expertise CMS Part B claims 10

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.

Blood glucose (sugar) level 82947

A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.

59 services49 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

47 services35 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

46 services40 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

32 services11 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

31 services13 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92225 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

80.15/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

69.01

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 15

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers95 claims221 services$5.07 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

2 suppliers47 claims51 services$0.91 avg. paid by Medicare

Ostomy pouch, drainable; with barrier attached, (1 piece), each A5061

DME-Orthotic Devices · category DF010N

1 supplier11 claims220 services$3.26 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

2 suppliers12 claims300 services$0.22 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

4 suppliers12 claims12 services$99.67 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers12 claims68 services$3.10 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 10

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

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Family Medicine