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MICHAEL RUDOLPH LUCERO PA-C
NPI 1790491298
Physician Assistant in Knoxville, TN

Active since January 27, 2023PECOS Enrolled
1050 NOD ST, KNOXVILLE, TN 37932(505) 328-2236 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Rudolph Lucero Pa-c NPPES

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

MICHAEL RUDOLPH LUCERO PA-C (NPI 1790491298) is an individual physician assistant in Knoxville, Tennessee, licensed in Tennessee (5375) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790491298
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL RUDOLPH LUCEROCredential: PA-C
Location Address1050 NOD STKnoxville, TN 37932-3717
Mailing Address1050 Nod StKnoxville, TN 37932-3717 · (505) 328-2236
Phone(505) 328-2236
Sole ProprietorNo
Enumeration DateJanuary 27, 2023
NPPES CertifiedJanuary 27, 2023
✔ NPI 1790491298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · 5375
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1050 NOD ST, Knoxville, TN 37932
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Rudolph Lucero Pa-c 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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
71 services62 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
49 services48 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
29 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37932 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 Michael Lucero's NPI number?

The NPI number for Michael Lucero is 1790491298. It was assigned to this individual provider in the NPPES registry on January 27, 2023.

Where is Michael Lucero located?

Michael Lucero practices at 1050 Nod St, Knoxville, TN 37932. The listed phone number is (505) 328-2236.

What is Michael Lucero's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Lucero enrolled in Medicare?

Yes. Michael Lucero is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Lucero was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.