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LUCAS DA MATTA MD
NPI 1952922767
Emergency Medicine in Potsdam, NY

Active since May 04, 2020PECOS EnrolledAccepts Medicare Assignment
50 LEROY ST, POTSDAM, NY 13676(315) 265-3300 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2025, Jun 16, 2025, Sep 8, 2021 and 1 more (4 updates tracked since 2020).

About Lucas Da Matta Md NPPES

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

LUCAS DA MATTA MD (NPI 1952922767) is an individual emergency medicine provider in Potsdam, New York, licensed in New York (336863) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Canton-potsdam Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1952922767
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameLUCAS DA MATTACredential: MD
Location Address50 LEROY STPotsdam, NY 13676-1786
Mailing Address50 Leroy StPotsdam, NY 13676-1786 · (315) 265-3300
Phone(315) 265-3300
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 4, 2020
Last NPPES UpdateOctober 7, 20254 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1952922767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 336863
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125.075728 (IL)
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 125.075728 (IL)
50 LEROY ST, Potsdam, NY 13676
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Other Names 1

Other Name (5)Lucas Tarabal Da Matta

Secondary Practice Locations 4

Location 12650 Ridge Ave Ste 1304Evanston, IL 60201-1700 · Phone (847) 570-4789
Location 21 Hospital DrMassena, NY 13662-1056 · Phone (315) 769-4200
Location 35841 S Maryland AveChicago, IL 60637-1443 · Phone (773) 702-6222
Location 477 W Barney StGouverneur, NY 13642-1040 · Phone (315) 287-1000

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 Da Matta Md 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 ID6800214834
PECOS Enrollment IDI20250623000276
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 3

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

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

Gouverneur Hospital

Critical Access Hospitals · Gouverneur, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331315
Location77 West Barney StreetGouverneur, NY 13642 · St. Lawrence County
Emergency services

Slhs Massena, Inc

Critical Access Hospitals · Massena, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331322
Location1 Hospital DriveMassena, NY 13662 · St. Lawrence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13676 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE LYNN LAWLESS LCSW
Social Worker (Clinical)
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
DR. KYLE FLINT PHARMD, RPH
Pharmacist
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
HEATHER MACKINNON
Physician Assistant
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
KARYN SULLIVAN PA
Emergency Medicine
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 782-2620
COREEN BOHL MSW, LCSW, ACHP-SW
Social Worker (Clinical)
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
KELSEY MILLER
Pharmacist
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 261-5511
CHRISTINA KASHMER PA
Physician Assistant
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
YASMEEN ZAIDI MS
Counselor (Mental Health)
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300

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 Lucas Da Matta's NPI number?

The NPI number for Lucas Da Matta is 1952922767. It was assigned to this individual provider in the NPPES registry on May 4, 2020. The provider is also known as Lucas Tarabal Da Matta.

Where is Lucas Da Matta located?

Lucas Da Matta practices at 50 Leroy St, Potsdam, NY 13676. The listed phone number is (315) 265-3300.

What is Lucas Da Matta's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Lucas Da Matta enrolled in Medicare?

Yes. Lucas Da Matta 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.

Is Lucas Da Matta affiliated with any hospitals?

According to CMS data, Lucas Da Matta is affiliated with Canton-Potsdam Hospital, Gouverneur Hospital and Slhs Massena, Inc.

When was this NPI record last updated?

The NPPES record for Lucas Da Matta was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.