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DR. JAMES ANTHONY LUCIO M.D.
NPI 1649235151
Internal Medicine - Critical Care Medicine in Kissimmee, FL

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
96.27/100
CMS Quality Rating
1121 N CENTRAL AVE, SUITE B, KISSIMMEE, FL 34741(407) 933-1221(407) 933-0747 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2020, Feb 20, 2018 (2 updates tracked since 2018).

About Dr. James Anthony Lucio M.d. NPPES

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

DR. JAMES ANTHONY LUCIO M.D. (NPI 1649235151) is an individual critical care medicine provider in Kissimmee, Florida, licensed in Florida (ME54610) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Kissimmee.

NPPES Registry Identity

NPI1649235151
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. JAMES ANTHONY LUCIOCredential: M.D.
Location Address1121 N CENTRAL AVE, SUITE BKissimmee, FL 34741-4405
Mailing Address1121 N Central Ave, Suite BKissimmee, FL 34741-4405 · (407) 933-1221 · Fax (407) 933-0747
Phone(407) 933-1221
Fax(407) 933-0747
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateApril 18, 2006
Last NPPES UpdateOctober 12, 20202 updates tracked since enumeration
NPPES CertifiedOctober 12, 2020
✔ NPI 1649235151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in FL · ME54610
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License ME54610 (FL)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License ME54610 (FL)
1121 N CENTRAL AVE, Kissimmee, FL 34741
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Secondary Practice Location 1

Location 12450 N Orange Blossom TrlKissimmee, FL 34744-2316 · Phone (407) 303-7283 · Fax (407) 303-0347

Other Identifiers 6

Medicaid372186800FL
Other103380FL · Avmed Provider Id
Other4800797FM · Uhc Provider Id
Other12472FL · Blue Cross Blue Shield
Other4323220FL · Aetna Provider Id
Other3816548001FL · Cigna Provider Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, AvMed, Blue Cross and Blue Shield of Kansas City and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Anthony Lucio M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830153139
PECOS Enrollment IDI20041116001099
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
410 services169 patients

Hospital Affiliations CMS Care Compare 3

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Adventhealth Lake Wales

Acute Care Hospitals · Lake Wales, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100099
Location410 S 11th StLake Wales, FL 33853 · Polk County
Emergency services

Adventhealth Heart Of Florida

Acute Care Hospitals · Davenport, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100137
Location40100 Hwy 27Davenport, FL 33837 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34741 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

96.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.55
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
21 suppliers108 claims108 services$32.48 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers12 claims22 services$1.14 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
14 suppliers54 claims54 services$74.20 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
14 suppliers51 claims149 services$29.01 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
19 suppliers68 claims379 services$16.35 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers32 claims179 services$13.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TREE OF LIFE INFUSION AND WELLNESS LLC
Nurse Practitioner (Adult Health)
1121 N CENTRAL AVE
KISSIMMEE, FL 34741
Osceola County (407) 973-7689
DR. ADAM L GRIGGS D.O.
Internal Medicine (Pulmonary Disease)
1121 N CENTRAL AVE, SUITE B
KISSIMMEE, FL 34741
Osceola County (407) 933-1221
DR. JOSEPH ITODO AMEH M.D.
Internal Medicine (Pulmonary Disease)
1121 N CENTRAL AVE, SUITE B
KISSIMMEE, FL 34741
Osceola County (407) 933-1221
REMBERTO JOSE BITAR M.D.
Internal Medicine (Pulmonary Disease)
1121 N CENTRAL AVE
KISSIMMEE, FL 34741
Osceola County (407) 933-1221
DR. THOMAS W O'BRIEN MD
Internal Medicine (Pulmonary Disease)
1121 N CENTRAL AVE, SUITE B
KISSIMMEE, FL 34741
Osceola County (407) 933-1221
SUSAN METCALF ARNP
Nurse Practitioner
1121 N CENTRAL AVE, SUITE B
KISSIMMEE, FL 34741
Osceola County (407) 933-1221
ROSITA RODRIGUEZ AGPCNP-BC
Nurse Practitioner (Gerontology)
1121 N CENTRAL AVE, SUITE B
KISSIMMEE, FL 34741
Osceola County (407) 933-1221
PULMONARY DISEASE SPECIALISTS, PA
Internal Medicine (Pulmonary Disease)
1121 N CENTRAL AVE, SUITE B
KISSIMMEE, FL 34741
Osceola County (407) 933-1221

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 James Lucio's NPI number?

The NPI number for James Lucio is 1649235151. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is James Lucio located?

James Lucio practices at 1121 N Central Ave Suite B, Kissimmee, FL 34741. The listed phone number is (407) 933-1221.

What is James Lucio's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is James Lucio enrolled in Medicare?

Yes. James Lucio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Lucio accept?

Health plans from Anthem Blue Cross and Blue Shield, AvMed, Blue Cross and Blue Shield of Kansas City and Oscar Insurance Company list James Lucio 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.

Is James Lucio affiliated with any hospitals?

According to CMS data, James Lucio is affiliated with Adventhealth Orlando, Adventhealth Lake Wales and Adventhealth Heart Of Florida.

When was this NPI record last updated?

The NPPES record for James Lucio was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.