NATHAN R LUCARDIE (M.D.) – Internal Medicine Physician, NPI 1790703759

NATHAN R LUCARDIE (M.D.) is a healthcare provider. based in Kent, Ohio. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 35087040 (OH). The NPI Number for NATHAN R LUCARDIE (M.D.) is 1790703759

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN R LUCARDIE (M.D.)
NPI
1790703759
Phone
(330) 678-7782
Address
307 W MAIN ST
Enumeration Date
18 July 2006
Last Update Date
22 March 2011

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
3306787782
Graduation Year
2003 (23 years ago)
PAC ID
4981607942
Group Practice PAC ID
0244379717
Professional Enrollment ID
I20060810000593
Address ID
OH442402400KE307XXSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

7,199 INTERNAL MEDICINE in OH

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Provider Addresses for NATHAN R LUCARDIE (M.D.)

  • 307, West Main Street, Jayton, Kent County, Texas, 79528, United States

    KENT, OH 442402400

    Phone: (330) 678-7782

    Fax: (330) 678-7301

    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)

CMS reports 40 Open Payments records for all available years, with a total value of $710.

Total Amount is formed as General ($710) + Research ($0) + Ownership ($0) = $710.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($243).

Total Amount

$710

General + Research + Ownership

Payments

40

Total payment records

General Amount

$710

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060810000593IInternal MedicineOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes255135$0
99213Established patient office or other outpatient visit, 20-29 minutes179102$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit136136$0
83036Hemoglobin a1c level12453$0
G0008Administration of influenza virus vaccine5959$0
View full utilization report →

Insurance plans in this area (ZIP 44240)

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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: 0244379717View full group profile
NameSpecialtyState
Internal MedicineOH
-OH
Internal Medicine, Pediatric MedicineOH
Physician AssistantOH
Neurology, Sleep MedicineOH
Otolaryngology, Plastic And Reconstructive SurgeryOH
-OH
-OH
-OH
Internal MedicineOH

Reviews

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Frequently asked questions

Where can patients find NATHAN R LUCARDIE (M.D.)'s NPI?
You can confirm NATHAN R LUCARDIE (M.D.) with NPI 1790703759; it appears in the national provider directory.
Is NATHAN R LUCARDIE (M.D.)'s NPI currently valid?
The extract we use shows NATHAN R LUCARDIE (M.D.) as active.
Does NATHAN R LUCARDIE (M.D.) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for NATHAN R LUCARDIE (M.D.). Clinical services aligned with this taxonomy classification.
Where is NATHAN R LUCARDIE (M.D.)'s primary listing?
We display Kent, Ohio because that is what the record indicates for NATHAN R LUCARDIE (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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