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DR. KATHLEEN JO LUCAS DDS
NPI 1417953175
Dentist - General Practice in Pasadena, CA

Active since June 27, 2005Opted out of Medicare · through Feb 2, 2028
959 E WALNUT ST, #208, PASADENA, CA 91106(626) 793-6930(626) 793-6950 Get Directions Write a Review

NPPES record last updated: October 19, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kathleen Jo Lucas Dds NPPES

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

DR. KATHLEEN JO LUCAS DDS (NPI 1417953175) is an individual general practice provider in Pasadena, California, licensed in California (34282) and active in the NPI registry since June 2005. She has opted out of Medicare through February 2, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417953175
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KATHLEEN JO LUCASCredential: DDS
Location Address959 E WALNUT ST, #208Pasadena, CA 91106-1451
Mailing Address959 E Walnut St, #208Pasadena, CA 91106-1451 · (626) 793-6930 · Fax (626) 793-6950
Phone(626) 793-6930
Fax(626) 793-6950
Sole ProprietorYes
Enumeration DateJune 27, 2005
Last NPPES UpdateOctober 19, 2010
✔ NPI 1417953175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 34282
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
959 E WALNUT ST, Pasadena, CA 91106
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kathleen Jo Lucas Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 2, 2016 through February 2, 2028.

Opt-Out Effective DateFebruary 2, 2016
Opt-Out In Effect ThroughFebruary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91106 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

RAJIV PHILIP MD
Internal Medicine (Pulmonary Disease)
959 E WALNUT ST, SUITE 120
PASADENA, CA 91106
Los Angeles County (626) 795-1831
SLEEPMED THERAPIES, INC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
959 E WALNUT ST, SUITE 150
PASADENA, CA 91106
Los Angeles County (626) 449-3033
SLEEPMED OF CALIFORNIA
Clinic/Center (Sleep Disorder Diagnostic)
959 E WALNUT ST, SUITE 150
PASADENA, CA 91106
Los Angeles County (978) 536-7400
RAAKESH SATHYA MD, MPH
Internal Medicine (Critical Care Medicine)
959 E WALNUT ST, STE 120
PASADENA, CA 91106
Los Angeles County (626) 795-5118
ELAINE M. EATON PHD
Psychologist
959 E WALNUT ST, SUITE 212
PASADENA, CA 91106
Los Angeles County (310) 551-7120
FOOTHILL PULMONARY & CRITICAL CARE CONSULTANTS MEDICAL GROUP INC.
Internal Medicine (Critical Care Medicine)
959 E WALNUT ST, SUITE 120
PASADENA, CA 91106
Los Angeles County (626) 795-5118
DR. STANLEY S. TU M.D.
Internal Medicine
959 E WALNUT ST, SUITE 120
PASADENA, CA 91106
Los Angeles County (626) 795-1831
DR. JOHN JOSEPH VANDYKE M.D.
Internal Medicine (Pulmonary Disease)
959 E WALNUT ST, SUITE 120
PASADENA, CA 91106
Los Angeles County (626) 795-5118

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 Kathleen Lucas's NPI number?

The NPI number for Kathleen Lucas is 1417953175. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Kathleen Lucas located?

Kathleen Lucas practices at 959 E Walnut St #208, Pasadena, CA 91106. The listed phone number is (626) 793-6930.

What is Kathleen Lucas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kathleen Lucas enrolled in Medicare?

No. Kathleen Lucas has opted out of Medicare through February 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Kathleen Lucas accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Kathleen Lucas 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 Kathleen Lucas was last updated on October 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.