Individual provider Active NPI

Lonnie Luscavage, MD

  • Ophthalmology Physician
  • Kennett Square, PA
National Provider Identifier
1306846225
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
066768L Issued in PA
Practice address
1008 Wawaset Rd
Kennett Square, PA 19348-1002
Phone
(610) 347-1200
Fax
(610) 347-1201
NPI assigned
Jul 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 066768L PA Primary

Addresses

Primary practice location

1008 Wawaset Rd
Kennett Square, PA 19348-1002

Mailing address

1008 Wawaset Rd
Kennett Square, PA 19348-1002
Phone (610) 347-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060222000378 PA Practitioner - Ophthalmology 4880600287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye to Eye OphthalmologyGroup PAC ID 2567478985, 2 clinicians

Practice addresses (Care Compare)

1008 Wawaset Rd
Kennett Square, PA 19348-1002
Phone (610) 347-1200

Merit-based Incentive Payment System (MIPS)

Final score
63.63 of 100Reported as individual
Quality
76.58
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery46
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
066768LPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye to Eye Ophthalmology Ophthalmology CurrentSince Jan 1, 2006 Accepting new patients
On Site Health Services PC Past Accepting new patients
Ophthalmology Consulting Services, PC Ophthalmology PastSince May 16, 2016 Accepting new patients

Locations

608 Chadds Ford Dr
Ste 100
Chadds Ford, PA 19317
Phone (610) 388-9755

Interoperability endpoints

  • Direct secure messaging: lonnie@eyetoeyeophth.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1306846225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 WAWASET RD",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481002",
            "telephone_number": "610-347-1200",
            "fax_number": "610-347-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 WAWASET RD",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481002",
            "telephone_number": "610-347-1200",
            "fax_number": "610-347-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSCAVAGE",
        "first_name": "LONNIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "066768L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett Square, PA

Sources for this page

Verify at the official NPI Registry.