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DR. MARIO S LUCCA D.M.D.
NPI 1497923791
Dentist - Oral and Maxillofacial Surgery in Boston, MA

Active since February 20, 2008Opted out of Medicare · through Jan 1, 2028
185 DARTMOUTH ST STE 403, BOSTON, MA 02116(617) 300-0345(617) 993-6970 Get Directions Write a Review

NPPES record last updated: June 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mario S Lucca D.m.d. NPPES

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

DR. MARIO S LUCCA D.M.D. (NPI 1497923791) is an individual oral and maxillofacial surgery provider in Boston, Massachusetts, licensed in Massachusetts (20676) and active in the NPI registry since February 2008. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1497923791
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MARIO S LUCCACredential: D.M.D.
Location Address185 DARTMOUTH ST STE 403Boston, MA 02116-5883
Mailing Address185 Dartmouth St Ste 403Boston, MA 02116-5883 · (617) 300-0345 · Fax (617) 993-6970
Phone(617) 300-0345
Fax(617) 993-6970
Sole ProprietorNo
Enumeration DateFebruary 20, 2008
Last NPPES UpdateJune 21, 2016
✔ NPI 1497923791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MA · 20676
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
185 DARTMOUTH ST STE 403, Boston, MA 02116
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Mario S Lucca D.m.d. 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 January 1, 2018 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2018
Opt-Out In Effect ThroughJanuary 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02116 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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 Mario Lucca's NPI number?

The NPI number for Mario Lucca is 1497923791. It was assigned to this individual provider in the NPPES registry on February 20, 2008.

Where is Mario Lucca located?

Mario Lucca practices at 185 Dartmouth St Ste 403, Boston, MA 02116. The listed phone number is (617) 300-0345.

What is Mario Lucca's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Mario Lucca enrolled in Medicare?

No. Mario Lucca has opted out of Medicare through January 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.

What insurance does Mario Lucca accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Mario Lucca 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 Mario Lucca was last updated on June 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.