DR. THOMAS FRANK LUSBY III D.D.S.
NPI 1609924869
Dentist - Oral and Maxillofacial Surgery in Prince Frederick, MD
NPI Status: Active since January 06, 2007
Contact Information
135 W DARES BEACH RD
SUITE 209
PRINCE FREDERICK, MD
ZIP 20678
Phone: (410) 535-0001
Fax: (410) 535-5624
- Individual
- Male
- Dentist
- Oral and Maxillofacial Surgery
- Accepts Insurance
- PECOS Enrolled
About THOMAS LUSBY
This page provides the complete NPI Profile along with additional information for Thomas Lusby, a provider established in Prince Frederick, Maryland with a medical specialization in Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1609924869 assigned on January 2007. The practitioner's primary taxonomy code is 1223S0112X with license number 06839 (MD). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1609924869
- Provider Name
- DR. THOMAS FRANK LUSBY III D.D.S.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 135 W DARES BEACH RD SUITE 209 PRINCE FREDERICK, MD 20678
- Location Phone
- (410) 535-0001
- Location Fax
- (410) 535-5624
- Mailing Address
- 6200 SANDY POINT RD PRINCE FREDERICK, MD 20678
- Mailing Phone
- (410) 535-0066
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-06-2007
- Last Update Date
- 07-08-2007
- Code Navigator
A dentist like Thomas Lusby is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Oral and Maxillofacial Surgery
- Taxonomy Code
- 1223S0112X
- Type
- Dental Providers
- License No.
- 06839
- License State
- MD
- Taxonomy Description
- An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueDental Copayment Q - PPO
- BlueDental Copayment QF - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Thomas Lusby is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 20678 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $89.75
- Minimum New Patient Price $57.99
- Maximum New Patient Price $175.57
- Average New Patient Copayment $22.43
- Minimum New Patient Copayment $14.49
- Maximum New Patient Copayment $43.89
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.23
- Minimum Established Patient Price $18.66
- Maximum Established Patient Price $143.02
- Average Established Patient Copayment $18.05
- Minimum Established Patient Copayment $4.66
- Maximum Established Patient Copayment $35.75
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 0 | 9 | 9 | 2 | 4 | 8 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 18 | 2 | 8 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 1 + 8 + 2 + 8 + 8 + 1 + 2 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1609924869 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1578651394 | MR. DAVID JON SACKS LCSW-C Individual | Social Worker (Clinical) | 135 W DARES BEACH RD SUITE 211 PRINCE FREDERICK, MD 20678 (410) 495-8075 |
| 1992914246 | CARDIOLOGY ASSOCIATES PC Organization | Specialist | 135 W DARES BEACH RD SUITE 101 PRINCE FREDERICK, MD 20678 (410) 571-8430 |
| 1043447576 | JOHN P HAKIM MD & ASSOCIATES PA Organization | Internal Medicine (Cardiovascular Disease) | 135 W DARES BEACH RD SUITE 101 PRINCE FREDERICK, MD 20678 (443) 880-5146 |
| 1326172248 | ISSAM F DAMALOUJI MD Organization | Family Medicine | 135 W DARES BEACH RD PRINCE FREDERICK, MD 20678 (410) 263-6638 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609924869, enumerated in the NPI registry as an "individual" on January 06, 2007
The provider is located at 135 W Dares Beach Rd Suite 209 Prince Frederick, Md 20678 and the phone number is (410) 535-0001
The provider's speciality is Dentist with taxonomy code 1223S0112X with a focus in Oral and Maxillofacial Surgery
The provider might be accepting Accepts: Florida Combined Life. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $89.75 with an average copayment of $22.43 for new patient appointments. Established patients should expect a typical charge of $72.23 and an average copayment of 18.05. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on January 06, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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