Active NPI
James P Lukavsky Sr., MD
- Family Medicine Physician
- Branson, MO
National Provider Identifier
1861493983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD 36766
- Practice address
- 115 Business Park Dr
Suite a
Branson, MO 65616 - Phone
- (417) 337-7511
- Fax
- (877) 836-7836
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD 36766 | MO | Primary |
Addresses
Primary practice location
115 Business Park Dr
Suite a
Branson, MO 65616
Mailing address
115 Business Park Dr
Suite a
Branson, MO 65616
Phone (417) 337-7511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202238028 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Creighton University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 Business Park Dr
Suite a
Branson, MO 65616-7478
Phone (417) 337-7511
115 Business Park Dr a
Branson, MO 65616-7478
225 Violyn Dr
Branson, MO 65616-8128
Phone 4173346660402
Hospital & facility affiliations
- Atlas Home Health and Therapy, LLC
- Amedisys Home Health of Missouri
- St Croix Hospice
- Cox Medical Center Branson
- Cox Medical Centers
- Mercy Hospital Springfield
- Ozarks Community Hospital of Gravette
Merit-based Incentive Payment System (MIPS)
- Final score
- 26.12 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 87.08
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 32 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 36766 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester E Cox Medical Centers | Past | Accepting new patients | |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Branson, MO
- NPI 1316221963
-
- Multi-Specialty Clinic/Center
- Branson, MO
- NPI 1518040443
-
- Neurology Physician
- Springfield, MO
- NPI 1023763414
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Springfield, MO
- NPI 1053464651
-
- Home Health Agency
- Branson, MO
- NPI 1457928095
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1093740128
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1861493983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 BUSINESS PARK DR",
"address_2": "SUITE A",
"city": "BRANSON",
"state": "MO",
"postal_code": "65616",
"telephone_number": "417-337-7511",
"fax_number": "877-836-7836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 BUSINESS PARK DR",
"address_2": "SUITE A",
"city": "BRANSON",
"state": "MO",
"postal_code": "65616",
"telephone_number": "417-337-7511",
"fax_number": "877-836-7836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKAVSKY",
"first_name": "JAMES",
"middle_name": "P",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "MD 36766",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202238028",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.