LICIA PACHECO-LUNA MD
NPI 1619538014
Radiology - Diagnostic Radiology in Baltimore, MD

Active since June 26, 2019PECOS Enrolled
75/100
CMS Quality Rating
600 N WOLFE ST, PHIPPS B100F, BALTIMORE, MD 21287(410) 955-2353 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 5, 2022, Jun 2, 2020 (2 updates tracked since 2020).

About Licia Pacheco-luna Md NPPES

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

LICIA PACHECO-LUNA MD (NPI 1619538014) is an individual diagnostic radiology provider in Baltimore, Maryland, licensed in Maryland (D92522) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1619538014
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameLICIA PACHECO-LUNACredential: MD
Location Address600 N WOLFE ST, PHIPPS B100FBaltimore, MD 21287
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 26, 2019
Last NPPES UpdateJune 2, 20222 updates tracked since enumeration
NPPES CertifiedJune 2, 2022
NPI 1619538014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MD · D92522
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

600 N WOLFE ST, Baltimore, MD 21287

Other Names 1

Former Name (1)Licia Pacheco Pereira Md

Other Identifiers 1

OtherD92522MD · Md License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Licia Pacheco-luna Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981096484
PECOS Enrollment IDI20220112002947
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 31

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
3,685 services40 patients
Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
920 services111 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
566 services532 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
261 services247 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
218 services218 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
102 services99 patients

Hospital Affiliations CMS Care Compare 3

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

Johns Hopkins Howard County Medical Center

Acute Care Hospitals · Columbia, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210048
Location5755 Cedar LaneColumbia, MD 21044 · Howard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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.

Physician Assistant (Medical)
600 N WOLFE ST, NELSON 2-133
BALTIMORE, MD 21287
Physician Assistant
600 N WOLFE ST, MARBURG B-186
BALTIMORE, MD 21287
Pathology (Anatomic Pathology & Clinical Pathology)
600 N WOLFE ST
BALTIMORE, MD 21287
Dental Hygienist
600 N WOLFE ST, BLALOCK 266
BALTIMORE, MD 21287
Nurse Practitioner (Acute Care)
600 N WOLFE ST
BALTIMORE, MD 21287
Internal Medicine (Medical Oncology)
600 N WOLFE ST
BALTIMORE, MD 21287
Psychiatry & Neurology (Psychiatry)
600 N WOLFE ST
BALTIMORE, MD 21287
Student in an Organized Health Care Education/Training Program
600 N WOLFE ST
BALTIMORE, MD 21287

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 Licia Pacheco-luna's NPI number?

The NPI number for Licia Pacheco-luna is 1619538014. It was assigned to this individual provider in the NPPES registry on June 26, 2019. The provider is also known as Licia Pacheco Pereira MD.

Where is Licia Pacheco-luna located?

Licia Pacheco-luna practices at 600 N Wolfe St Phipps B100f, Baltimore, MD 21287. The listed phone number is (410) 955-2353.

What is Licia Pacheco-luna's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Licia Pacheco-luna enrolled in Medicare?

Yes. Licia Pacheco-luna is registered in the Medicare PECOS enrollment system.

Is Licia Pacheco-luna affiliated with any hospitals?

According to CMS data, Licia Pacheco-luna is affiliated with Johns Hopkins Hospital, The, Johns Hopkins Bayview Medical Center and Johns Hopkins Howard County Medical Center.

When was this NPI record last updated?

The NPPES record for Licia Pacheco-luna was last updated on June 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.