DR. JAY H LUCAS M.D.
NPI 1447301270
Plastic Surgery in Knoxville, TN

NPI Status: Active since January 16, 2007

Contact Information

280 FORT SANDERS WEST BLVD
STE 112
KNOXVILLE, TN
ZIP 37922
Phone: (865) 218-6210
Fax: (865) 218-6211

Get Directions Write a Review

  • Individual
  • Male
  • Years of Experience 32
  • Plastic Surgery
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About JAY LUCAS

This page provides the complete NPI Profile along with additional information for Jay Lucas, a provider established in Knoxville, Tennessee with a medical specialization in Plastic Surgery and more than 32 years of experience. He graduated from Perelman School Of Med At The University Of Pennsylvania in 1994. The healthcare provider is registered in the NPI registry with number 1447301270 assigned on January 2007. The practitioner's primary taxonomy code is 208200000X with license number MD0000036890 (TN). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1447301270
Provider Name
DR. JAY H LUCAS M.D.
Gender
Male
Entity Type
Individual
Location Address
280 FORT SANDERS WEST BLVD STE 112 KNOXVILLE, TN 37922
Location Phone
(865) 218-6210
Location Fax
(865) 218-6211
Mailing Address
280 FORT SANDERS WEST BLVD 112 KNOXVILLE, TN 37922
Mailing Phone
(865) 218-6210
Mailing Fax
(865) 218-6211
Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year
1994
Is Sole Proprietor?
Yes
Enumeration Date
01-16-2007
Last Update Date
09-08-2016
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Plastic Surgery

Taxonomy Code
208200000X
Type
Allopathic & Osteopathic Physicians
License No.
MD0000036890
License State
TN
Taxonomy Description
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
H28593MEDICARE UPIN (02)TN 
3879545MEDICARE ID-TYPE UNSPECIFIED (04)TN 

Medicare Participation & PECOS Enrollment Status

Jay Lucas is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Jay Lucas is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8325940588

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040127000390

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Mastectomy

A mastectomy is a surgical procedure that involves the removal of all or part of the breast tissue. This is often done to treat or prevent conditions related to abnormal cell growth. There are different types, ranging from removing only the breast tissue to also removing nearby structures. The approach depends on individual health circumstances.

This service was performed for 1-10 patients

Melanoma (skin cancer) excision

Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.

This service was performed for 1-10 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 37922 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $81.53
  • Minimum New Patient Price $52.64
  • Maximum New Patient Price $160.89
  • Average New Patient Copayment $20.38
  • Minimum New Patient Copayment $13.16
  • Maximum New Patient Copayment $40.22

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.01
  • Minimum Established Patient Price $16.72
  • Maximum Established Patient Price $131.41
  • Average Established Patient Copayment $16.5
  • Minimum Established Patient Copayment $4.18
  • Maximum Established Patient Copayment $32.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. JAY H LUCAS M.D.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1447301270, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
4
Doubled → 8
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 3 → 6 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 8 + 7 + 6 + 0 + 2 + 2 + 1 + 4 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1447301270.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Dentist (General Practice)
280 FORT SANDERS WEST BLVD, SUITE 100
KNOXVILLE, TN 37922
Family Medicine
280 FORT SANDERS WEST BLVD, SUITE 101
KNOXVILLE, TN 37922
Family Medicine
280 FORT SANDERS WEST BLVD, SUITE 101
KNOXVILLE, TN 37922
Physician Assistant
280 FORT SANDERS WEST BLVD, SUITE 101
KNOXVILLE, TN 37922
Family Medicine
280 FORT SANDERS WEST BLVD, SUITE 101
KNOXVILLE, TN 37922
Nurse Practitioner (Family)
280 FORT SANDERS WEST BLVD, SUITE 101
KNOXVILLE, TN 37922
Physician Assistant
280 FORT SANDERS WEST BLVD, SUITE 101
KNOXVILLE, TN 37922
Nurse Practitioner (Family)
280 FORT SANDERS WEST BLVD, SUITE 101
KNOXVILLE, TN 37922
Family Medicine
280 FORT SANDERS WEST BLVD, SUITE 101
KNOXVILLE, TN 37922
Family Medicine
280 FORT SANDERS WEST BLVD
KNOXVILLE, TN 37922
Dentist (General Practice)
280 FORT SANDERS WEST BLVD, SUITE 117
KNOXVILLE, TN 37922
Pediatrics
280 FORT SANDERS WEST BLVD, SUITE 101
KNOXVILLE, TN 37922
Internal Medicine
280 FORT SANDERS WEST BLVD, SUITE 101
KNOXVILLE, TN 37922

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447301270, enumerated as an "individual" on January 16, 2007.

The provider is located at 280 FORT SANDERS WEST BLVD STE 112 KNOXVILLE, TN 37922 and the phone number is (865) 218-6210.

Plastic Surgery with taxonomy code 208200000X.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Medicare and. Please consult your insurance carrier or call the provider to verify.