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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: September 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 10, 2026, Oct 12, 2020, Feb 20, 2018 (3 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 3 additional practice locations.

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 Ste 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 UpdateSeptember 10, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ 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
Licenses✔ Licensed in FL · ME54610✔ Licensed in NC · 2025-03901
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
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1101 Hospital DrColumbus, NC 28722-6418 · Phone (407) 303-7283 · Fax (407) 303-0473
Location 2100 Hospital DrHendersonville, NC 28792-5272 · Phone (407) 303-7283 · Fax (407) 303-0473
Location 32450 N Orange Blossom TrlKissimmee, FL 34744-2316 · Phone (407) 303-7283 · Fax (407) 303-0347

Other Identifiers 6

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware 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 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.

Medicare Billing Reassignments

5

Medicare enrollment records show James Lucio reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary Disease Specialists, PA
Same address
Pulmonary Disease
1121 N CENTRAL AVE, SUITE B
Kissimmee, FL 34741
  • Reassigned Medicare billing, Florida enrollment
  • 23 clinicians in this Medicare group
NPI 1649484809 (407) 933-1221
Florida Hospital Medical Group Inc
17 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100
Memorial Hospital, Inc.
613 mi
Rural Health
53 QUEENDALE CTR STE 2
Beverly, KY 40913
  • Reassigned Medicare billing, Kentucky enrollment
  • 123 clinicians in this Medicare group
NPI 1558665752 (606) 598-5135
Adventist Health Partners, Inc
992 mi
Internal Medicine
644 S WEBER RD
Romeoville, IL 60446
  • Reassigned Medicare billing, Illinois enrollment
  • 381 clinicians in this Medicare group
NPI 1740536812 (815) 254-3783
Shawnee Mission Medical Center Inc
1,059 mi
Family Medicine
15710 W 135TH ST STE 200
Olathe, KS 66062
  • Reassigned Medicare billing, Kansas enrollment
  • 384 clinicians in this Medicare group
NPI 1326551144 (913) 297-7472

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

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 11

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
EH MEDICAL GROUP LLC
Internal Medicine (Nephrology)
1121 N CENTRAL AVE
KISSIMMEE, FL 34741
Osceola County (407) 305-8093
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

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.

Which organizations bill Medicare for James Lucio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Lucio reassigns Medicare benefits to 5 organizations: Pulmonary Disease Specialists, PA (Kissimmee, FL), Florida Hospital Medical Group Inc (Orlando, FL), Memorial Hospital, Inc. (Beverly, KY), Adventist Health Partners, Inc (Romeoville, IL) and Shawnee Mission Medical Center Inc (Olathe, KS). Each 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 James Lucio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Lucio accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 4 other insurers 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 September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.