Individual provider Active NPI

Lucas Tanner Thornton, PA-C

  • Surgical Physician Assistant
  • Georgetown, TX
National Provider Identifier
1285943878
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
1904 Railroad Ave Ste 100
Georgetown, TX 78626-7718
Phone
(512) 863-4563
Fax
(512) 869-5899
NPI assigned
Sep 29, 2010
Last updated
Jan 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

1904 Railroad Ave Ste 100
Georgetown, TX 78626-7718

Mailing address

1904 Railroad Ave Ste 100
Georgetown, TX 78626-7718
Phone (512) 863-4563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101129000765 TX Practitioner - Physician Assistant 2860688140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Texas Tech University Health Science Center School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. David's Ortho Neuro and Rehab PLLCGroup PAC ID 5799948857, 60 clinicians

Practice addresses (Care Compare)

1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000

1904 Railroad St
Suite 100
Georgetown, TX 78626-7718
Phone (512) 863-4563

2000 Scenic Dr
Georgetown, TX 78626-7726
Phone (512) 943-3000

2300 Round Rock Ave
Suite 201
Round Rock, TX 78681-4026
Phone (512) 341-6612

919 E 32ND St
Austin, TX 78705-2703
Phone (412) 476-7111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.55 of 100Reported as individual
Quality
79.63
Promoting interoperability
100
Improvement activities
40
Cost
65.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurotexas, PLLC PastSince Jan 22, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 16-thornton-lucas@direct.leadingreach.com
  • Direct secure messaging: lucas.thornton@hca8.eclinicaldirectplus.com

Organizations & group practices 2

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

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": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1285943878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 RAILROAD AVE STE 100",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267718",
            "telephone_number": "512-863-4563",
            "fax_number": "512-869-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 RAILROAD AVE STE 100",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267718",
            "telephone_number": "512-863-4563",
            "fax_number": "512-869-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "LUCAS",
        "middle_name": "TANNER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-29",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.