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DR. SUSAN LEBEDOVA LUCAK M.D. PC
NPI 1457439028
Internal Medicine - Gastroenterology in New York, NY

Active since November 01, 2006Opted out of Medicare · through Apr 1, 2028
100/100
CMS Quality Rating
903 PARK AVE, 1ST FLOOR, NEW YORK, NY 10075(212) 861-0481(212) 861-2401 Get Directions Write a Review

NPPES record last updated: April 25, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Susan Lebedova Lucak M.d. Pc NPPES

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

DR. SUSAN LEBEDOVA LUCAK M.D. PC (NPI 1457439028) is an individual gastroenterology provider in New York, New York, licensed in New York (154388) and active in the NPI registry since November 2006. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1981).

NPPES Registry Identity

NPI1457439028
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SUSAN LEBEDOVA LUCAKCredential: M.D. PC
Location Address903 PARK AVE, 1ST FLOORNew York, NY 10075-0338
Mailing Address903 Park Ave, 1st FloorNew York, NY 10075-0338 · (212) 861-0481 · Fax (212) 861-2401
Phone(212) 861-0481
Fax(212) 861-2401
Sole ProprietorYes
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1981
Enumeration DateNovember 1, 2006
Last NPPES UpdateApril 25, 2013
✔ NPI 1457439028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 154388
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
903 PARK AVE, New York, NY 10075
Open in Google Maps ↗

Other Identifiers 2

Other13-3376821NY · Ein
Medicare PINA300047579NY

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. Susan Lebedova Lucak M.d. Pc 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 April 1, 2026 through April 1, 2028.

Opt-Out Effective DateApril 1, 2026
Opt-Out In Effect ThroughApril 1, 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.

Areas of Expertise CMS Part B claims 4

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
329 services174 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
57 services57 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
36 services35 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
26 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10075 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Appropriate indication for colonoscopy
Percentage of colonoscopy procedures performed for an indication that is included in a published standard list of appropriate indications and the indication is documented
73%145 patients2/55-star benchmark: 99%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. YOEL S SHAHAR MD
Plastic Surgery
903 PARK AVE
NEW YORK, NY 10075
New York County (212) 717-4066
SUSAN LUCAK MD PC
Internal Medicine (Gastroenterology)
903 PARK AVE, FIRST FLOOR
NEW YORK, NY 10075
New York County (212) 861-0481
DR. MARCELO RAMON OLARTE M.D.
Psychiatry & Neurology (Neurology)
903 PARK AVE, 1ST. FLOOR
NEW YORK, NY 10075
New York County (212) 988-9100
UNIVERSITY PHYSICIANS LLP
Internal Medicine
903 PARK AVE
NEW YORK, NY 10075
New York County (718) 743-7090
DR. ARLENE H MARKOWITZ M.D.
Otolaryngology
903 PARK AVE, FIRST FLOOR
NEW YORK, NY 10075
New York County (212) 794-3999
AMY PIZER PH.D.
Social Worker (Clinical)
903 PARK AVE, 11C
NEW YORK, NY 10075
New York County (212) 879-4094
DR. BONNIE LYNN MASLIN PHD
Psychologist (Clinical)
903 PARK AVE
NEW YORK, NY 10075
New York County (212) 737-8303
SUSAN L LUCAK MD PC
Internal Medicine (Gastroenterology)
903 PARK AVE, LOWER LEVEL
NEW YORK, NY 10075
New York County (212) 861-0481

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 Susan Lucak's NPI number?

The NPI number for Susan Lucak is 1457439028. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Susan Lucak located?

Susan Lucak practices at 903 Park Ave 1st Floor, New York, NY 10075. The listed phone number is (212) 861-0481.

What is Susan Lucak's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Susan Lucak enrolled in Medicare?

No. Susan Lucak has opted out of Medicare through April 1, 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.

When was this NPI record last updated?

The NPPES record for Susan Lucak was last updated on April 25, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.