Individual provider Active NPI

Lucas E Croak, PA-C

  • Surgical Physician Assistant
  • Grove City, OH
National Provider Identifier
1518109743
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
50.002894 Issued in OH
Practice address
5500 N Meadows Dr
Grove City, OH 43123-7687
Phone
(614) 488-1816
NPI assigned
Apr 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.002894RX OH
Surgical Physician Assistant 363AS0400X 50.002894 OH Primary

Addresses

Primary practice location

5500 N Meadows Dr
Grove City, OH 43123-7687

Mailing address

340 Polaris Pkwy
Westerville, OH 43082-7971
Phone (614) 545-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090817000006 OH Practitioner - Physician Assistant 7618021262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic One, Inc.Group PAC ID 3072598283, 282 clinicians

Practice addresses (Care Compare)

340 Polaris Pkwy
Westerville, OH 43082-7971
Phone (614) 839-2300

4604 Sawmill Rd
Upper Arlington, OH 43220-2247
Phone (614) 827-8700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.64 of 100Reported as group
Quality
89.85
Promoting interoperability
100
Improvement activities
40
Cost
78.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.002894RXOHMDPhysician Assistant
50.002894OHMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health System CurrentSince Jul 1, 2021 Accepting new patients
Orthopedic One, Inc. CurrentSince Jul 20, 2010 Accepting new patients
Orthopedic One, Inc CurrentSince Jul 20, 2010 Accepting new patients
Mount Carmel Health System CurrentSince Jul 1, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

7750 Diley Rd
#B
Canal Winchester, OH 43110
Phone (614) 545-7939

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

3600 Stelzer Rd
Ste 240
Columbus, OH 43219
Phone (614) 827-1300

170 Taylor Station Rd
Columbus, OH 43213
Phone (614) 545-7910

8080 N High St
Columbus, OH 43235
Phone (614) 515-5672

6810 Perimeter Dr
Ste 200
Dublin, OH 43016
Phone (614) 408-0840

5500 N Meadows Dr
Grove City, OH 43123
Phone (614) 488-1816

3777 Trueman Ct
Hilliard, OH 43026
Phone (614) 234-6464

4604 Sawmill Rd
Upper Arlngtn, OH 43220
Phone (614) 839-2300

560 N Cleveland Ave
Westerville, OH 43082
Phone (614) 426-1200

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

340 Polaris Pkwy
Westerville, OH 43082
Phone (614) 839-2300

Interoperability endpoints

  • Direct secure messaging: lcroak@orthopedicone.medentdirect.com

Organizations & group practices 5

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": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1518109743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 POLARIS PKWY",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827971",
            "telephone_number": "614-545-7900",
            "fax_number": "614-545-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 N MEADOWS DR",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431237687",
            "telephone_number": "614-488-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROAK",
        "first_name": "LUCAS",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-02",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002894RX",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.002894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.