LUCAS M MIRERA DO
NPI 1891439105
Family Medicine in Manitowoc, WI

Q: What is Lucas Mirera's NPI number?

The NPI number for Lucas Mirera is 1891439105. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Q: What is Lucas Mirera's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Lucas Mirera was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since April 22, 2022PECOS EnrolledAccepts Medicare Assignment

4100 DEWEY ST, MANITOWOC, WI 54220(920) 686-5700(920) 684-2936 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2025, Nov 12, 2025, Oct 21, 2022 and 1 more (4 updates tracked since 2022).

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About Lucas M Mirera Do NPPES

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

LUCAS M MIRERA DO (NPI 1891439105) is an individual family medicine provider in Manitowoc, Wisconsin, licensed in Wisconsin (82032) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Mercyone North Iowa Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1891439105

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameLUCAS M MIRERACredential: DO

Location Address4100 DEWEY STManitowoc, WI 54220-5497

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(920) 686-5700

Fax(920) 684-2936

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 22, 2022

Last NPPES UpdateNovember 17, 20254 updates tracked since enumeration

NPPES CertifiedNovember 17, 2025

✔ NPI 1891439105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 82032

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4100 DEWEY ST, Manitowoc, WI 54220

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Other Identifiers 1

Medicaid100385175WI

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

Lucas M Mirera Do 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 ID1254712409

PECOS Enrollment IDI20251114002302

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.

Hospital Affiliations CMS Care Compare 2

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

Mercyone North Iowa Medical Center

Acute Care Hospitals · Mason City, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160064

Location1000 Fourth Street SWMason City, IA 50401 · Cerro Gordo County

Emergency services Birthing friendly

Aurora Medical Ctr Manitowoc County

Acute Care Hospitals · Two Rivers, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number520034

Location5000 Memorial DriveTwo Rivers, WI 54241 · Manitowoc County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54220 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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.

DR. GREGORY SHOICHI ISHIMOTO M.D.

Family Medicine