Active NPI 1982759320 Individual Practitioner Male Practitioner

Dr. Robert M Lucas , MD

Orthopaedic Surgery • Folsom, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Lucas, MD is a certified Orthopaedic Surgery practicing in Folsom, CA. With approximately 20 years of clinical experience since completing medical education in 2006, Dr. Lucas delivers high-quality medical care to the local community at 1730 PRAIRIE CITY RD STE 120.

Dr. Lucas is affiliated with Dignity Health Medical Foundation and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1730 Prairie City Rd Ste 120

Folsom, CA 956309594

Telephone 9163514800

Fax 9163576194

Associated Practice Facility / Clinic

🏢 Dignity Health Medical Foundation Facility NPI 1497879597

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Folsom, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -7.3 yrs vs City Avg

City Avg: 27.3 Yrs

State Avg: 28.4 Yrs

Regional Practice Density

8 Specialists

Practicing in Folsom, CA (2527 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lucas (20 Years) 20 Yrs

Folsom Specialty Average (27.3 Years) 27.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	700	111	$40.97	$0.98
20610 Aspiration and/or injection of fluid from large joint	170	119	$326.96	$80.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	131	$552.83	$141.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	130	130	$789.08	$183.15
99213 Established patient office or other outpatient visit, typically 15 minutes	62	55	$388.77	$100.42
20985 Computer-assisted surgery for muscle and bone procedure	60	57	$651.43	$149.17
0055T Musculoskeletal surgical navigational orthopedic operation using imaging guidance	58	55	$579.00	$226.11
27447 Replacement of knee joint, both sides of knee	42	39	$9500.00	$1361.68
23472 Prosthetic repair of shoulder joint, total shoulder	24	22	$8427.00	$1516.15
27130 Replacement of thigh bone and hip joint with prosthesis	20	19	$8972.00	$1364.40
29823 Removal of extensive shoulder joint tissue using an endoscope	12	11	$4048.00	$133.66
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	11	$4267.00	$177.73
29827 Repair of shoulder rotator cuff using an endoscope	12	11	$5587.00	$1150.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	556	96	$40.97	$1.07
20610 Aspiration and/or injection of fluid from large joint	161	106	$278.14	$74.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	129	$521.86	$134.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$765.00	$176.21
99213 Established patient office or other outpatient visit, typically 15 minutes	87	71	$362.23	$96.35
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	42	12	$474.39	$72.66
27447 Replacement of knee joint, both sides of knee	30	28	$9500.00	$1330.29
20985 Computer-assisted surgery for muscle and bone procedure	28	26	$584.00	$147.03
0055T Musculoskeletal surgical navigational orthopedic operation using imaging guidance	27	25	$579.00	$211.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$530.00	$134.97
23472 Prosthetic repair of shoulder joint, total shoulder	14	14	$8427.00	$1500.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	379	69	$40.97	$1.13
99213 Established patient office or other outpatient visit, typically 15 minutes	112	88	$262.00	$95.96
20610 Aspiration and/or injection of fluid from large joint	86	70	$295.66	$80.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$580.88	$175.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	47	$370.00	$135.59
27447 Replacement of knee joint, both sides of knee	24	22	$9500.00	$1325.19
0055T Musculoskeletal surgical navigational orthopedic operation using imaging guidance	23	21	$579.00	$218.70
20985 Computer-assisted surgery for muscle and bone procedure	23	21	$584.00	$147.89
23472 Prosthetic repair of shoulder joint, total shoulder	16	16	$8637.67	$1498.43
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$386.00	$102.60
27130 Replacement of thigh bone and hip joint with prosthesis	14	14	$8459.31	$1248.78
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	11	11	$4267.00	$176.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	389	65	$40.97	$1.26
99213 Established patient office or other outpatient visit, typically 15 minutes	131	92	$262.00	$95.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$569.00	$177.29
20610 Aspiration and/or injection of fluid from large joint	82	64	$277.68	$73.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$370.00	$137.67
27447 Replacement of knee joint, both sides of knee	20	20	$9120.00	$1287.46
0055T Musculoskeletal surgical navigational orthopedic operation using imaging guidance	19	19	$579.00	$221.08
20985 Computer-assisted surgery for muscle and bone procedure	19	19	$584.00	$150.07
27130 Replacement of thigh bone and hip joint with prosthesis	16	15	$8074.80	$1204.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	249	43	$40.97	$1.45
99213 Established patient office or other outpatient visit, typically 15 minutes	112	85	$262.00	$79.28
20610 Aspiration and/or injection of fluid from large joint	60	46	$276.19	$70.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$569.00	$173.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	35	$370.00	$110.87
29823 Removal of extensive shoulder joint tissue using an endoscope	18	18	$4182.93	$232.30
27130 Replacement of thigh bone and hip joint with prosthesis	18	18	$6579.47	$1033.15
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	16	16	$4267.00	$183.42
29827 Repair of shoulder rotator cuff using an endoscope	15	15	$5884.97	$1136.32
27447 Replacement of knee joint, both sides of knee	13	13	$8915.38	$1340.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	208	38	$40.97	$1.56
99213 Established patient office or other outpatient visit, typically 15 minutes	118	76	$262.00	$77.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$569.00	$169.75
20610 Aspiration and/or injection of fluid from large joint	44	37	$276.00	$66.41
27447 Replacement of knee joint, both sides of knee	19	19	$5062.50	$714.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	590	101	$40.97	$1.80
99213 Established patient office or other outpatient visit, typically 15 minutes	161	107	$262.00	$75.65
20610 Aspiration and/or injection of fluid from large joint	152	102	$272.97	$65.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	121	121	$569.00	$169.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$478.00	$150.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$370.00	$111.96
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$386.00	$102.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	55	$170.37	$121.09
99213 Established patient office or other outpatient visit, typically 15 minutes	75	54	$150.67	$82.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$250.76	$182.35
20610 Aspiration and/or injection of fluid from large joint	60	47	$125.00	$83.00
73030 X-ray of shoulder, minimum of 2 views	56	35	$75.00	$34.71
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	33	32	$15.00	$6.23
23472 Prosthetic repair of shoulder joint, total shoulder	25	25	$622.20	$253.06
73562 X-ray of knee, 3 views	23	15	$55.00	$43.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	20	19	$5.00	$1.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$296.29	$217.78

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License CA A114459

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Independent Medical Examiner

NUCC Taxonomy Code: 202C00000X

State License NE 24406

A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License WA MD60444477

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1982759320 (WA)

Commercial Insurance / Payer ID California License

A114459 (CA)

Commercial Insurance / Payer ID Washington License

MD60444477 (WA)

Commercial Insurance / Payer ID United States Navy

24406 (NE)

Hospital & Practice Group Affiliations

Dignity Health Medical Foundation

1730 Prairie City Rd, Folsom, CA 956309594

Phone: 9163514800

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

📍

Updated Practice Location February 08, 2019

Registered at 1730 PRAIRIE CITY RD STE 120, FOLSOM, CA 956309594 (Tel: 9163514800)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Independent Medical Examiner (License #24406 in NE)

✅

NPI Profile Active October 09, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location October 09, 2017

Registered at 6555 COYLE AVE STE 180, CARMICHAEL, CA 956080303 (Tel: 9165362408)

📍

Updated Business Mailing Address October 09, 2017

Registered at 3400 DATA DR, RANCHO CORDOVA, CA 956707956

👤

Provider Name / Credentials Updated October 09, 2017

Recorded as ROBERT LUCAS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2017

Independent Medical Examiner (License #24406 in NE)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2017

Orthopaedic Surgery (License #A114459 in CA)

✅

NPI Profile Active December 01, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 01, 2015

Registered at 3717 MT DIABLO BLVD, LAFAYETTE, CA 945493588 (Tel: 9252845300)

📍

Updated Business Mailing Address December 01, 2015

Registered at 3717 MT DIABLO BLVD, LAFAYETTE, CA 945493588 (Tel: 9252845300)

👤

Provider Name / Credentials Updated December 01, 2015

Recorded as ROBERT LUCAS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2015

Orthopaedic Surgery (License #A114459 in CA)

🟢

Initial NPI Registration & Enumeration January 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982759320

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 24, 2007

Last Update: February 08, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3400 Data Dr

Rancho Cordova, CA 956707956

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.