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LUCILLE GOTANCO M.D.
NPI 1578784393
Psychiatry & Neurology - Child & Adolescent Psychiatry in Indianapolis, IN

Active since May 01, 2007PECOS Enrolled
93.89/100
CMS Quality Rating
7165 CLEARVISTA WAY, INDIANAPOLIS, IN 46256(317) 621-5100 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lucille Gotanco M.d. NPPES

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

LUCILLE GOTANCO M.D. (NPI 1578784393) is an individual child & adolescent psychiatry provider in Indianapolis, Indiana, licensed in Indiana (01081827A) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1578784393
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameLUCILLE GOTANCOCredential: M.D.
Location Address7165 CLEARVISTA WAYIndianapolis, IN 46256
Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890
Phone(317) 621-5100
Sole ProprietorNo
Enumeration DateMay 1, 2007
Last NPPES UpdateAugust 8, 2019
✔ NPI 1578784393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in IN · 01081827A✔ Licensed in TX · M6636✔ Licensed in IL · 036-116838
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License M6636 (TX)
7165 CLEARVISTA WAY, Indianapolis, IN 46256
Open in Google Maps ↗

Secondary Practice Location 1

Location 18535 Tom SlickSan Antonio, TX 78229-3367 · Phone (210) 582-6440 · Fax (210) 692-9021

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lucille Gotanco M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Lucille Gotanco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Hospital Of Indiana Inc
Same address
Specialist
7165 CLEARVISTA WAY, PSYCH PAVILION
Indianapolis, IN 46256
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Community Health Network Inc
  • 175 clinicians in this Medicare group
NPI 1194753103 (317) 355-5837

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

93.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.13
Promoting Interoperability100
Improvement Activities40
Cost67.85

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.

MR. YAMEEN ABDUL-NUR CHESTNUT LMFT
Marriage & Family Therapist
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5100
WENDY BUDWIG
Social Worker (Clinical)
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5100
ANGELA WATTS LCSW
Social Worker (Clinical)
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5100
ZACHARY ALAN MONTGOMERY
Student in an Organized Health Care Education/Training Program
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5700
SARA LIANG WORSHAM DO
Student in an Organized Health Care Education/Training Program
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5700
SYED KAZMI DO
Student in an Organized Health Care Education/Training Program
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5700
KELLY NADINE SOFORIC LMHC
Counselor (Mental Health)
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5100
LESLIE RENEE MONTES FERRIS LCSW
Social Worker (Clinical)
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5100

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 Lucille Gotanco's NPI number?

The NPI number for Lucille Gotanco is 1578784393. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Lucille Gotanco located?

Lucille Gotanco practices at 7165 Clearvista Way, Indianapolis, IN 46256. The listed phone number is (317) 621-5100.

What is Lucille Gotanco's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Lucille Gotanco enrolled in Medicare?

Yes. Lucille Gotanco is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lucille Gotanco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lucille Gotanco reassigns Medicare benefits to Community Hospital Of Indiana Inc (Indianapolis, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lucille Gotanco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lucille Gotanco accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and UnitedHealthcare list Lucille Gotanco 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 Lucille Gotanco was last updated on August 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.