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LORI JEAN LUCAS M.D.
NPI 1922069129
Internal Medicine - Gastroenterology in Atlanta, GA

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment
79.88/100
CMS Quality Rating
980 JOHNSON FERRY RD NE, SUITE 820, ATLANTA, GA 30342(404) 252-9307(404) 252-5839 Get Directions Write a Review

NPPES record last updated: December 14, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lori Jean Lucas M.d. NPPES

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

LORI JEAN LUCAS M.D. (NPI 1922069129) is an individual gastroenterology provider in Atlanta, Georgia, licensed in Georgia (27083) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Piedmont Athens Regional Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (1983).

NPPES Registry Identity

NPI1922069129
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameLORI JEAN LUCASCredential: M.D.
Location Address980 JOHNSON FERRY RD NE, SUITE 820Atlanta, GA 30342-1626
Mailing Address550 Peachtree St Ne, Suite 1600Atlanta, GA 30308-2208 · (404) 881-1094 · Fax (404) 874-1249
Phone(404) 252-9307
Fax(404) 252-5839
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1983
Enumeration DateMarch 29, 2006
Last NPPES UpdateDecember 14, 2010
✔ NPI 1922069129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in GA · 27083
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
980 JOHNSON FERRY RD NE, Atlanta, GA 30342
Open in Google Maps ↗

Other Identifiers 3

OtherCB5609Rr Medicare
Medicare ID-Type Unspecified10BBCCGGA
Medicare UPINE99786GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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

Lori Jean Lucas 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 ID6901882729
PECOS Enrollment IDI20040624000672
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 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
187 services161 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
122 services120 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
89 services89 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
56 services56 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
52 services38 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
45 services44 patients

Hospital Affiliations CMS Care Compare 4

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

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

79.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.48
Promoting Interoperability98
Improvement Activities40
Cost78.12

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
98%770 patients5/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,326 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
98%1,164 patients4/55-star benchmark: 100%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
86%380 patients4/55-star benchmark: 88%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
99%193 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 491 patients
0%491 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MARK F DEUTSCH M.D.
Plastic Surgery
980 JOHNSON FERRY RD NE, SUITE 760
ATLANTA, GA 30342
Fulton County (770) 461-4824
JAIME G ACKERMAN PA-C
Physician Assistant
980 JOHNSON FERRY RD NE, SUITE 820
ATLANTA, GA 30342
Fulton County (404) 252-9307
SOUTHEASTERN GYNECOLOGIC ONCOLOGY 2 LLC
Obstetrics & Gynecology (Gynecologic Oncology)
980 JOHNSON FERRY RD NE, SUITE 900
ATLANTA, GA 30342
Fulton County (404) 943-0205
DR. RODNEY L BAIER D.D.S
Dentist (General Practice)
980 JOHNSON FERRY RD NE, SUITE 530
ATLANTA, GA 30342
Fulton County (404) 851-9711
DR. WILLIAM HOLT SANDERS MD
Urology
980 JOHNSON FERRY RD NE, STE 490
ATLANTA, GA 30342
Fulton County (404) 257-0133
SOUTHEASTERN GYNECOLOGIC ONCOLOGY, LLC
Obstetrics & Gynecology (Gynecologic Oncology)
980 JOHNSON FERRY RD NE, SUITE 900
ATLANTA, GA 30342
Fulton County (678) 420-4100
DR. JOHN P. DALY M.D.
Surgery
980 JOHNSON FERRY RD NE, SUITE 760
ATLANTA, GA 30342
Fulton County (404) 252-0433
THE HAND AND UPPER EXTREMITY CENTER OF GA, PC
Orthopaedic Surgery (Hand Surgery)
980 JOHNSON FERRY RD NE, SUITE 1020
ATLANTA, GA 30342
Fulton County (404) 255-0226

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 Lori Lucas's NPI number?

The NPI number for Lori Lucas is 1922069129. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Lori Lucas located?

Lori Lucas practices at 980 Johnson Ferry Rd NE Suite 820, Atlanta, GA 30342. The listed phone number is (404) 252-9307.

What is Lori Lucas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Lori Lucas enrolled in Medicare?

Yes. Lori Lucas 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 Lori Lucas accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Lori Lucas 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 Lori Lucas affiliated with any hospitals?

According to CMS data, Lori Lucas is affiliated with Piedmont Athens Regional Medical Center, Piedmont Hospital, Northside Hospital Gwinnett and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Lori Lucas was last updated on December 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.