Quick answers
- Does Lucas H. Spiker accept Medicare assignment?
- Yes. Medicare's clinician data says Lucas H. Spiker accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Lucas H. Spiker see?
- In 2024, CMS data shows 343 Original Medicare patients and 3,452 services for Lucas H. Spiker. This counts Original Medicare only and measures volume, not quality.
- What is Lucas H. Spiker's NPI number?
- 1275761652. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Lucas H. Spiker, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 343 |
|---|---|
| Services billed to Medicare | 3,452 |
| Different services or procedures | 22 |
| Participating Medicare provider | Yes |
| Average age of these patients | 73 |
Most frequent services
- Removal of cataract with insertion of prosthetic lens (66984)2,160 services
- Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)213 services
- Photography of the retina (92250)152 services
- Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)139 services
- Exam of visual field with extended testing (92083)118 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- High cholesterol75%
- Arthritis36%
- Diabetes34%
- Ischemic heart disease25%
- Chronic kidney disease24%
Practice locations
Addresses where Lucas H. Spiker is enrolled with Medicare (CMS data updated October 2, 2026).
- 1020 Terrace Dr, Suite 100Marion, VA 24354 (276) 783‑5157
Group practices
Medicare enrollment lists Lucas H. Spiker as a member of this group (CMS data updated October 2, 2026).
- Envision Professional Group PLLC10 clinicians in the group
Specialties
- Optometryprimary
Other optometrists in Marion
Clinicians with the same Medicare primary specialty in Marion, VA — not a recommendation.
Other clinicians in Envision Professional Group PLLC
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | OD |
|---|---|
| Optometry school | Southern College Of Optometry |
| Graduation year | 2009 (17 years since optometry school) |
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1275761652 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians