Individual provider Active NPI

Stefan Lucas, M.D.

  • Anesthesiology Physician
  • Rochester, NY
National Provider Identifier
1174541213
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
229504 Issued in NY
Practice address
1240 Jefferson Rd
Suite C
Rochester, NY 14623-3104
Phone
(844) 748-7242
Fax
(844) 586-2669
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 229504 NY Primary
Anesthesiology Physician 207L00000X 2025-03270 NC

Addresses

Primary practice location

1240 Jefferson Rd
Suite C
Rochester, NY 14623-3104

Mailing address

1300 Concord Ter Ste 420
Sunrise, FL 33323-2899
Phone (866) 306-6007

Other practice location 1

2131 S 17th St
Wilmington, NC 28401-7407
Phone (910) 667-7000

Other identifiers 7

IdentifierTypeStateIssuer
G0189393590OtherNYBLUE CHOICE GROUP
02501119MedicaidNY
00026573501OtherNYUNIVERA PROV#
MDH685OtherNYPREFERRED CARE
7917460OtherNYAETNA PROV#
2222OtherNYBLUE SHIELD GROUP
P010229504OtherNYBLUE CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031231000365 NY Practitioner - Anesthesiology 0840199691 Reassigns benefits to 4 organizations
I20260427002833 NC Practitioner - Anesthesiology 0840199691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
State University of New York at Buffalo School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St James HospitalGroup PAC ID 0345154480, 130 clinicians
Upstate Medical Anesthesiology Group IncGroup PAC ID 8921992389, 76 clinicians

Practice addresses (Care Compare)

2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 343-7000

7309 Seneca Rd N
Hornell, NY 14843-9691

7329 Seneca Rd N
Hornell, NY 14843-9684
Phone (607) 247-2200

750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-4720

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.2 of 100Reported as group
Quality
60.03
Promoting interoperability
99
Improvement activities
40
Cost
73.33

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2025-03270NCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St James Hospital CurrentSince Dec 30, 2023 Accepting new patients
Upstate Medical Anesthesiology Group, Inc. CurrentSince Jan 5, 2026 Accepting new patients
Cayuga Medical Associates, PC CurrentSince Sep 1, 2020 Accepting new patients
Upstate New York Medical Professional Corporation Anesthesiology CurrentSince Jan 18, 2023 Accepting new patients

Locations

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011

310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

5784 Widewaters Pkwy
Ste 2
Syracuse, NY 13214
Phone (315) 469-1134

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1174541213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CONCORD TER STE 420",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232899",
            "telephone_number": "866-306-6007",
            "fax_number": "704-248-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 JEFFERSON RD",
            "address_2": "SUITE C",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233104",
            "telephone_number": "844-748-7242",
            "fax_number": "844-586-2669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2131 S 17th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017407",
            "country_code": "US",
            "telephone_number": "910-667-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "STEFAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "229504",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "2025-03270",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE GROUP",
            "identifier": "G0189393590",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02501119",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA PROV#",
            "identifier": "00026573501",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "MDH685",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROV#",
            "identifier": "7917460",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP",
            "identifier": "2222",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010229504",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.