KAREN L LUCAS MD
NPI 1992780357
Obstetrics & Gynecology in Biddeford, ME

Q: What is Karen Lucas's NPI number?

The NPI number for Karen Lucas is 1992780357. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Q: What is Karen Lucas's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Karen Lucas was last updated on April 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since December 08, 2005PECOS EnrolledAccepts Medicare Assignment

98.06/100

CMS Quality Rating

9 HEALTHCARE DRIVE, SUITE 101, BIDDEFORD, ME 04005(207) 282-4270(207) 282-4270 Get Directions Write a Review

NPPES record last updated: April 1, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Karen L Lucas Md NPPES

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

KAREN L LUCAS MD (NPI 1992780357) is an individual obstetrics & gynecology provider in Biddeford, Maine, licensed in Maine (MD17124) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of University Of South Carolina School Of Medicine (1993).

NPPES Registry Identity

NPI1992780357

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameKAREN L LUCASCredential: MD

Location Address9 HEALTHCARE DRIVE, SUITE 101Biddeford, ME 04005

Mailing Address1 Medical Center DrBiddeford, ME 04005-9422 · (207) 282-9080 · Fax (207) 282-9180

Phone(207) 282-4270

Fax(207) 282-4270

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1993

Enumeration DateDecember 8, 2005

Last NPPES UpdateApril 1, 2014

✔ NPI 1992780357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in ME · MD17124

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

9 HEALTHCARE DRIVE, Biddeford, ME 04005

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Other Identifiers 9

Other1358462Aetna Hmo

OtherG59900Harvard Pilgrim Healthcar

Medicare UPING59900

Other5944557Aetna Non Hmo

Medicare ID-Type UnspecifiedME1972ME

Other100497ME · Anthem

Other7328233ME · Cigna

Medicaid432263499ME

Medicare PINME197201ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Karen L Lucas 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 ID143233189

PECOS Enrollment IDI20060717000226

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 2

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

36 services27 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200009

Location22 Bramhall StPortland, ME 04102 · Cumberland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04005 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

$128.83 typical visit price

range $56.28 – $169.96

Typical copayment $32.20 (range $14.07 – $42.49)

Most-billed visit code 99204

Established Patient

$70.13 typical visit price

range $18.22 – $138.92

Typical copayment $17.53 (range $4.55 – $34.73)

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.

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.

98.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.13

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 14

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

BRANDEI K WINGARD M.D.

Internal Medicine (Cardiovascular Disease)

9 HEALTHCARE DRIVE, SUITE 105
BIDDEFORD, ME 04005

York County (207) 282-3666

DR. RICHARD MARTIN KAHN M.D.

Internal Medicine (Pulmonary Disease)

9 HEALTHCARE DRIVE, SUITE 209
BIDDEFORD, ME 04005

York County (207) 283-6408

HEATHER J LEMIRE WHNP-BC

Nurse Practitioner (Women's Health)

9 HEALTHCARE DRIVE, SUITE 101
BIDDEFORD, ME 04005

York County (207) 282-4270

HOWARD B SHERMAN M.D.

Internal Medicine (Cardiovascular Disease)

9 HEALTHCARE DRIVE, SUITE 105
BIDDEFORD, ME 04005

York County (207) 282-3666

TAMMI BITTLER M.D.

Obstetrics & Gynecology

9 HEALTHCARE DRIVE, SUITE 101
BIDDEFORD, ME 04005

York County (207) 282-4270

DR. SCOTT A MORIN D.O.

Internal Medicine (Pulmonary Disease)

9 HEALTHCARE DRIVE, SUITE 209
BIDDEFORD, ME 04005

York County (207) 283-6408

MARY O'HARE M.D.

Obstetrics & Gynecology

9 HEALTHCARE DRIVE, SUITE 101
BIDDEFORD, ME 04005

York County (207) 282-4270

KIMBERLY R COMPARETTO APRN-CNP

Nurse Practitioner (Psychiatric/Mental Health)

9 HEALTHCARE DRIVE, SUITE 101
BIDDEFORD, ME 04005

York County (207) 282-4270

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 Karen Lucas's NPI number?

The NPI number for Karen Lucas is 1992780357. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Where is Karen Lucas located?

Karen Lucas practices at 9 Healthcare Drive Suite 101, Biddeford, ME 04005. The listed phone number is (207) 282-4270.

What is Karen Lucas's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Karen Lucas enrolled in Medicare?

Yes. Karen 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 Karen Lucas accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Karen 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 Karen Lucas affiliated with any hospitals?

According to CMS data, Karen Lucas is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Lucas was last updated on April 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.