DR. LUCAS PINEDA BERNAL M.D.
NPI 1437582475
Internal Medicine - Rheumatology in Saint Croix Falls, WI

Active since August 13, 2013PECOS EnrolledAccepts Medicare Assignment
235 E STATE ST, SAINT CROIX FALLS, WI 54024(715) 483-3221(715) 483-0507 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2022, Oct 2, 2018 (2 updates tracked since 2018).

About Dr. Lucas Pineda Bernal M.d. NPPES

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

DR. LUCAS PINEDA BERNAL M.D. (NPI 1437582475) is an individual rheumatology provider in Saint Croix Falls, Wisconsin, licensed in Wisconsin (68883) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, is affiliated with Amery Hospital & Clinic, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1437582475
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. LUCAS PINEDA BERNALCredential: M.D.
Location Address235 E STATE STSaint Croix Falls, WI 54024
Mailing Address235 E State StSaint Croix Falls, WI 54024-4117 · (715) 483-3221 · Fax (715) 483-0507
Fax(715) 483-0507
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 13, 2013
Last NPPES UpdateSeptember 23, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2022
NPI 1437582475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses Licensed in WI · 68883 Licensed in MN · 72487
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
235 E STATE ST, Saint Croix Falls, WI 54024

Accepted Insurance

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. Lucas Pineda Bernal M.d. 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 ID2567718810
PECOS Enrollment IDI20180629000153, I20230206001153
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 2

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.
42 services35 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
16 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Amery Hospital & Clinic

Critical Access Hospitals · Amery, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521308
Location265 Griffin Street EastAmery, WI 54001 · Polk County
Emergency services Birthing friendly

Ladd Memorial Hospital

Critical Access Hospitals · Osceola, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521318
Location2600 65th AvenueOsceola, WI 54020 · Polk County
Emergency services

Burnett Medical Center

Critical Access Hospitals · Grantsburg, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521331
Location257 W St George AveGrantsburg, WI 54840 · Burnett County
Emergency services

St Croix Regional Medical Center

Critical Access Hospitals · Saint Croix Falls, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521337
Location235 E State StreetSaint Croix Falls, WI 54024 · Polk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54024 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

Physical Therapy Assistant
235 E STATE ST
SAINT CROIX FALLS, WI 54024
Physician Assistant
235 E STATE ST
SAINT CROIX FALLS, WI 54024
Physical Therapy Assistant
235 E STATE ST
SAINT CROIX FALLS, WI 54024
Psychologist
235 E STATE ST
SAINT CROIX FALLS, WI 54024
Obstetrics & Gynecology
235 E STATE ST
SAINT CROIX FALLS, WI 54024
Internal Medicine (Pulmonary Disease)
235 E STATE ST
SAINT CROIX FALLS, WI 54024
Nurse Practitioner (Gerontology)
235 E STATE ST
SAINT CROIX FALLS, WI 54024
Pharmacist
235 E STATE ST
SAINT CROIX FALLS, WI 54024

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 Pineda Bernal's NPI number?

The NPI number for Lucas Pineda Bernal is 1437582475. It was assigned to this individual provider in the NPPES registry on August 13, 2013.

Where is Lucas Pineda Bernal located?

Lucas Pineda Bernal practices at 235 E State St, Saint Croix Falls, WI 54024. The listed phone number is (715) 483-3221.

What is Lucas Pineda Bernal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Lucas Pineda Bernal enrolled in Medicare?

Yes. Lucas Pineda Bernal 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.

What insurance does Lucas Pineda Bernal accept?

Health plans from HealthPartners, Medica and Security Health Plan list Lucas Pineda Bernal 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.

Is Lucas Pineda Bernal affiliated with any hospitals?

According to CMS data, Lucas Pineda Bernal is affiliated with Amery Hospital & Clinic, Ladd Memorial Hospital, Burnett Medical Center and St Croix Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Lucas Pineda Bernal was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.