Physician

Wayne B Lucas, MD

According to 2025 Medicare claims, Wayne Lucas, MD (NPI: 1932141223) practices gastroenterology in the Pinehurst-Southern Pines, NC market, with the plurality of this provider's patient population coming from Moore, NC. This provider's primary affiliated billing organization is PINEHURST MEDICAL CLINIC, INC. (NPI: 1255388369; TIN: 560942980) and primary practice location at 28374-8850. Lucas is affiliated with the agilon health Mid-Atlantic ACO, Inc. (DBA: Senior Health Connect ACO 5) (ACO ID: D0156), participating under the REACH model.

Lucas' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 738 traditional Medicare patients, billed 33,449 HCPCS/CPT codes, and received $382,670 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 1,778 prescription claims across 693 beneficiaries totaling $887,300 in drug costs, led by Humira(Cf) Pen (Adalimumab). 2018 DME data shows 72 claims. Open Payments data shows 54 records totaling $1,755. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$232K$465K2015 Medicare payment: $464,838 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $419,309 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $377,753 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $396,747 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $391,179 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $360,085 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $340,084 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $296,936 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $275,714 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $382,670 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,12529,823$464,838
20161,28636,066$419,309
20171,13030,930$377,753
20181,10131,394$396,747
20191,06945,951$391,179
202096934,424$360,085
202191337,232$340,084
202283419,824$296,936
202374022,934$275,714
202473833,449$382,670

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$654K$1.3M2015 Drug cost: $1,308,059 (USD; Tot_Drug_Cst)2016 Drug cost: $1,264,030 (USD; Tot_Drug_Cst)2017 Drug cost: $708,063 (USD; Tot_Drug_Cst)2018 Drug cost: $586,279 (USD; Tot_Drug_Cst)2019 Drug cost: $606,062 (USD; Tot_Drug_Cst)2020 Drug cost: $711,048 (USD; Tot_Drug_Cst)2021 Drug cost: $859,938 (USD; Tot_Drug_Cst)2022 Drug cost: $1,022,415 (USD; Tot_Drug_Cst)2023 Drug cost: $1,194,019 (USD; Tot_Drug_Cst)2024 Drug cost: $887,300 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20157472,352$1,308,059
20167772,475$1,264,030
20177932,417$708,063
20187662,341$586,279
20196962,184$606,062
20206321,811$711,048
20216481,748$859,938
20226941,799$1,022,415
20236771,615$1,194,019
20246931,778$887,300

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$19K$38K2017 Medicare payment: $36,945 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $37,535 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/R72$36,945
2018N/R72$37,535
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare252253$189
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more154187$83
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope178179$67
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more8294$61
36415Insertion of needle into vein for collection of blood sample87124$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab371,036$421,279
StelaraUstekinumab11394$291,418
PentasaMesalamine12540$23,039
LinzessLinaclotide17690$11,877
Rabeprazole SodiumRabeprazole Sodium25912,560$8,646

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.54$1,755ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Wayne B. Lucas, MD?

Tedicare shows public-source Medicare data for Wayne B. Lucas, MD (NPI 1932141223), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Wayne B. Lucas, MD have ACO affiliation data?

Wayne B. Lucas, MD is shown with ACO affiliation data for agilon health Mid-Atlantic ACO, Inc. (DBA: Senior Health Connect ACO 5) (REACH, ACO ID D0156).

What billing organization is linked to Wayne B. Lucas, MD?

Wayne B. Lucas, MD is linked to PINEHURST MEDICAL CLINIC, INC. (billing NPI 1255388369) in the available physician profile data.

Does Wayne B. Lucas, MD have Open Payments data?

Wayne B. Lucas, MD has 54 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.