JOHN P LUCKETT (MD) – Ophthalmic Plastic and Reconstructive Surgery Physician, NPI 1336646652

JOHN P LUCKETT (MD) is a healthcare provider. based in Birmingham, Alabama. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 38447 (AL). The NPI Number for JOHN P LUCKETT (MD) is 1336646652

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
JOHN P LUCKETT (MD)
NPI
1336646652
Phone
(205) 783-7663
Address
817 PRINCETON AVE SW STE 106
Enumeration Date
12 April 2018
Last Update Date
29 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2257667441
Graduation Year
2022 (4 years ago)
PAC ID
5193068955
Group Practice PAC ID
5890783062
Professional Enrollment ID
I20240603001147
Address ID
LA708080306BA7777XBLVD302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

250 OPHTHALMOLOGY in AL

Provider Addresses for JOHN P LUCKETT (MD)

  • 106, Princeton Avenue Southwest, Elyton, Birmingham, Jefferson County, Alabama, 35211, United States

    BIRMINGHAM, AL 352111340

    Phone: (205) 783-7663

    Type: Mailing

  • 700 18th St S Ste 601

    Birmingham, AL 352333800

    Phone: (205) 325-8507

    Type: Location

  • 817 Princeton Ave SW Ste 106

    Birmingham, AL 352111340

    Phone: (205) 783-7663

    Type: Location

  • 1000 19TH ST S

    BIRMINGHAM, AL 352054804

    Phone: (205) 930-0700

    Type: Mailing

  • 601, 18th Street South, Automotive Historic District, Five Points South, Birmingham, Jefferson County, Alabama, 35233, United States

    BIRMINGHAM, AL 352333800

    Phone: (205) 325-8507

    Type: Location

  • 7777 HENNESSY BLVD STE 3000

    BATON ROUGE, LA 708089183

    Phone: (225) 766-7441

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $467.

Total Amount is formed as General ($467) + Research ($0) + Ownership ($0) = $467.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Amgen Inc. ($172).

Total Amount

$467

General + Research + Ownership

Payments

11

Total payment records

General Amount

$467

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220519002543IOphthalmologyALTBD
I20240603001147IOphthalmologyLATBD

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
99284Emergency department visit with moderate level of medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 35211)

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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: 5890783062View full group profile
NameSpecialtyState
O P H T H A L M O L O G YLA
-LA
O P H T H A L M O L O G YLA
O P H T H A L M O L O G YLA
O P H T H A L M O L O G YLA
O P H T H A L M O L O G YLA
O P H T H A L M O L O G YLA
O P T O M E T R YLA
-LA
O P H T H A L M O L O G YLA

Reviews

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Frequently asked questions

What identifier follows JOHN P LUCKETT (MD) across health systems?
The NPI 1336646652 uniquely identifies JOHN P LUCKETT (MD) in U.S. healthcare data.
Should I treat JOHN P LUCKETT (MD) as an active provider?
Patients and plans typically see JOHN P LUCKETT (MD) as active in the national extract.
How should patients interpret JOHN P LUCKETT (MD)'s specialty?
The extract shows Ophthalmic Plastic and Reconstructive Surgery Physician for JOHN P LUCKETT (MD). Clinical services aligned with this taxonomy classification.
What city is tied to JOHN P LUCKETT (MD)?
The directory associates JOHN P LUCKETT (MD) with Birmingham, Alabama. Check all listed addresses for suites or satellite offices.
Who maintains JOHN P LUCKETT (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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