Individual provider Active NPI

Lucas Peter Spaeth

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1457994899
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
620 W Lexington St
Baltimore, MD 21201-1508
Phone
(410) 706-3100
NPI assigned
Oct 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

620 W Lexington St
Baltimore, MD 21201-1508

Mailing address

620 W Lexington St
Baltimore, MD 21201-1508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20210903000678 MD Practitioner - Physician Assistant 7810393592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Surgery Associates LLCGroup PAC ID 3173500410, 13 clinicians

Practice addresses (Care Compare)

520 Upper Chesapeake Dr
Suite 306
Bel Air, MD 21014-4375
Phone (410) 879-2006

6569 N Charles St
Suite 701
Towson, MD 20204-6832
Phone (410) 825-4928

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.84 of 100Reported as group
Quality
73.85
Promoting interoperability
88
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Surgery Associates, L.L.C. CurrentSince Jun 1, 2021 Accepting new patients

Locations

3435 Box Hill Corporate Center Dr
Ste H
Abingdon, MD 21009
Phone (410) 879-2006

2411 W Belvedere Ave
Ste 301
Baltimore, MD 21215
Phone (410) 601-0500

520 Upper Chesapeake Dr
Ste 306
Bel Air, MD 21014
Phone (410) 879-2006

111 W High St
Ste 303
Elkton, MD 21921
Phone (410) 392-2380

111 W High St
Ste 103
Elkton, MD 21921
Phone (410) 836-0131

3300 North Ridge Rd
Ste 100
Ellicott City, MD 21043
Phone (443) 819-3710

77 Thomas Johnson Dr
Ste E
Frederick, MD 21702
Phone (301) 695-8346

10 Crossroads Dr
Owings Mills, MD 21117
Phone (410) 469-4400

1838 Greene Tree Rd
Ste 430
Pikesville, MD 21208
Phone (410) 602-8637

6569 N Charles St
Ste 701
Towson, MD 21204
Phone (410) 825-4928

902 Washington Rd
Ste E
Westminster, MD 21157
Phone (410) 876-0286

Interoperability endpoints

  • Direct secure messaging: lucas.spaeth.p1@direct.vsadocs.nextgenshare.com
  • Direct secure messaging: lspaeth641015@direct.umm.edu
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1457994899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W LEXINGTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W LEXINGTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011508",
            "telephone_number": "410-706-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAETH",
        "first_name": "LUCAS",
        "middle_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.