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

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: November 01, 2026.

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
Open in Google Maps ↗

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 and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Karen Lucas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Webber Hospital Association
0.4 mi
Surgery
3 MEDICAL CENTER DR
Biddeford, ME 04005
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: Southern Maine Health Care
  • 253 clinicians in this Medicare group
NPI 1023281078 (207) 284-4597
Mainehealth
0.5 mi
Multi-Specialty
1 MEDICAL CENTER DR
Biddeford, ME 04005
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
NPI 1215417019 (207) 283-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

Which organizations bill Medicare for Karen Lucas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Lucas reassigns Medicare benefits to 2 organizations: Webber Hospital Association (Biddeford, ME) and Mainehealth (Biddeford, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Lucas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Lucas accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Taro Health 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.