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Active NPI 1396121646 Individual Practitioner Male Practitioner

Lucas Michal Anderson

Physician Assistant • Watauga, TX

Professional Overview & Biography Verified Profile Summary

Lucas Anderson is a registered healthcare professional specializing in Physician Assistant in Watauga, TX. Practice services are available at 6317 N PARK DR under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6317 N Park Dr

Watauga, TX 761481321

Telephone 7077380510

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Watauga, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Watauga, TX (11140 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
89.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99285 Emergency department visit for life threatening or functioning severity
132 130 $1334.64 $147.10
99284 Emergency department visit with moderate level of medical decision making
123 119 $895.85 $102.05
99283 Emergency department visit with low level of medical decision making
29 29 $654.03 $59.47
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
19 19 $116.00 $6.74

Medical Specialties & State Licenses

CMS Verified: 2022-11-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA14846

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License CA 52540

Definition to come...

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License NV PA1668

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
LA1225 (NV)
Medicaid State Provider ID
1396121646 (TX)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location November 13, 2022

Registered at 6317 N PARK DR, WATAUGA, TX 761481321 (Tel: 7077380510)

📍
Updated Business Mailing Address November 13, 2022

Registered at 6317 N PARK DR, WATAUGA, TX 761481321 (Tel: 7077380510)

NPI Profile Active February 20, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2016

Registered at 9050 W TROPICANA AVE, 1159, LAS VEGAS, NV 891478186 (Tel: 7077380510)

📍
Updated Business Mailing Address February 20, 2016

Registered at 9050 W TROPICANA AVE, 1159, LAS VEGAS, NV 891478186 (Tel: 7077380510)

👤
Provider Name / Credentials Updated February 20, 2016

Recorded as LUCAS ANDERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2016

Physician Assistant (License #PA1668 in NV)

🟢
Initial NPI Registration & Enumeration August 09, 2015

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: 1396121646
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2015
Last Update: November 13, 2022
Sole Proprietor: Yes

Mailing Address

6317 N Park Dr

Watauga, TX 761481321

Phone: 7077380510

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.