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: July 19, 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
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

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

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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
19 services17 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
13 services11 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.
12 services12 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
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.

Family Medicine
9 HEALTHCARE DRIVE
BIDDEFORD, ME 04005
Internal Medicine (Cardiovascular Disease)
9 HEALTHCARE DRIVE, SUITE 105
BIDDEFORD, ME 04005
Internal Medicine (Cardiovascular Disease)
9 HEALTHCARE DRIVE, SUITE 105
BIDDEFORD, ME 04005
Obstetrics & Gynecology
9 HEALTHCARE DRIVE, SUITE 101
BIDDEFORD, ME 04005
Internal Medicine (Pulmonary Disease)
9 HEALTHCARE DRIVE, SUITE 209
BIDDEFORD, ME 04005
Surgery
9 HEALTHCARE DRIVE, SUITE 204
BIDDEFORD, ME 04005
Obstetrics & Gynecology
9 HEALTHCARE DRIVE, SUITE 101
BIDDEFORD, ME 04005
Internal Medicine (Cardiovascular Disease)
9 HEALTHCARE DRIVE, SUITE 105
BIDDEFORD, ME 04005

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992780357, enumerated as an "individual" on December 08, 2005.

The provider is located at 9 HEALTHCARE DRIVE SUITE 101 BIDDEFORD, ME 04005 and the phone number is (207) 282-4270.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: Ambetter from NH Healthy Families, Anthem Blue. Please consult your insurance carrier or call the provider to verify.

Karen Lucas is affiliated with: MAINE MEDICAL CENTER.