MR. JOHN R LUCKASEN (M.D.) – Dermatology Physician, NPI 1114921525

MR. JOHN R LUCKASEN (M.D.) is a healthcare provider. based in Omaha, Nebraska. specializing in Dermatology Physician. They hold the professional credentials M.D.. They hold a License No. 12194 (NE). The NPI Number for MR. JOHN R LUCKASEN (M.D.) is 1114921525

Main info

Male
56 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN R LUCKASEN (M.D.)
NPI
1114921525
Phone
(402) 552-2555
Address
4242 FARNAM ST
Enumeration Date
13 June 2005
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4025522555
Graduation Year
1970 (56 years ago)
PAC ID
4385659978
Group Practice PAC ID
7315952900
Professional Enrollment ID
I20081212000225
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. JOHN R LUCKASEN (M.D.)

  • Pulmonary Medicine Institute P.C., 4242, Farnam Street, Omaha, Douglas County, Nebraska, 68131, United States

    STE 360

    OMAHA, NE 681312850

    Phone: (402) 552-2555

    Fax: (402) 552-2573

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68131)

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Provider's Procedures

MR. JOHN R LUCKASEN (M.D.) performs procedures in Dermatology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYNE88304Pathology examination of tissue using a microscope, moderately low complexity175158

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315952900View full group profile
NameSpecialtyState
Nurse PractitionerNE
D E R M A T O L O G YNE
D E R M A T O L O G YNE
D E R M A T O L O G YNE
Physician AssistantNE
D E R M A T O L O G YNE
Physician AssistantNE

Reviews

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Frequently asked questions

Does MR. JOHN R LUCKASEN (M.D.) have a public NPI I can cite?
Public records show MR. JOHN R LUCKASEN (M.D.) under NPI 1114921525.
Should I treat MR. JOHN R LUCKASEN (M.D.) as an active provider?
Patients and plans typically see MR. JOHN R LUCKASEN (M.D.) as active in the national extract.
What services align with MR. JOHN R LUCKASEN (M.D.)'s listing?
MR. JOHN R LUCKASEN (M.D.)'s public classification highlights Dermatology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. JOHN R LUCKASEN (M.D.)?
MR. JOHN R LUCKASEN (M.D.) is associated with Omaha, Nebraska in the same public data insurers reference.
Who maintains MR. JOHN R LUCKASEN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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