CORY ALLEN LUCKIE (MD) – Medical Toxicology (Emergency Medicine) Physician, NPI 1457708166

CORY ALLEN LUCKIE (MD) is a healthcare provider. based in Deatsville, Alabama. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 36124 (AL). The NPI Number for CORY ALLEN LUCKIE (MD) is 1457708166

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
CORY ALLEN LUCKIE (MD)
NPI
1457708166
Phone
(334) 543-4851
Address
4412 HOGAN RD
Enumeration Date
23 May 2016
Last Update Date
17 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
3345684750
Graduation Year
2016 (10 years ago)
PAC ID
5890071914
Group Practice PAC ID
8426076670
Professional Enrollment ID
I20180927003316
Address ID
AL360667269PR645XXNXXX508

Contacts

Other Endpoint
CLINIC
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

1,754 FAMILY PRACTICE in AL

Provider Addresses for CORY ALLEN LUCKIE (MD)

  • 4412 HOGAN RD

    DEATSVILLE, AL 360223400

    Phone: (334) 543-4851

    Fax: (334) 543-4854

    Type: Mailing

  • 301 BROWN SPRINGS RD

    MONTGOMERY, AL 361177005

    Phone: (334) 747-4159

    Type: Mailing

  • 645 MCQUEEN SMITH RD N STE 309

    PRATTVILLE, AL 360667269

    Phone: (334) 568-4500

    Fax: (334) 568-4501

    Type: Location

  • Peter Bryce Boulevard, Riverview, Tuscaloosa, Tuscaloosa County, Alabama, 35487, United States

    TUSCALOOSA, AL 354017419

    Phone: (205) 348-1770

    Fax: (205) 348-5294

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 170 Open Payments records for all available years, with a total value of $3,094.

Total Amount is formed as General ($3,094) + Research ($0) + Ownership ($0) = $3,094.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($589).

Total Amount

$3,094

General + Research + Ownership

Payments

170

Total payment records

General Amount

$3,094

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2018-09-27

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
I20180927003316IFamily PracticeALTBD

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 minutes119104$0
99204New patient office or other outpatient visit, 45-59 minutes4444$0
83036Hemoglobin a1c level4137$0
G0008Administration of influenza virus vaccine3535$0
96372Injection of drug or substance under skin or into muscle3216$0
View full utilization report →

Insurance plans in this area (ZIP 36022)

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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: 8426076670View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
-AL
Addiction Medicine, Family PracticeAL
Interventional Cardiology, Cardiovascular Disease (Cardiology)AL
Family PracticeAL
Family PracticeAL
Physician AssistantAL
-AL
Interventional CardiologyAL

Reviews

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Frequently asked questions

What number should I use to identify CORY ALLEN LUCKIE (MD) for billing?
Administrative and clinical systems typically use NPI 1457708166 for CORY ALLEN LUCKIE (MD).
Is CORY ALLEN LUCKIE (MD)'s NPI status active today?
Active status means CORY ALLEN LUCKIE (MD)'s NPI record is not deactivated in the public file.
What services align with CORY ALLEN LUCKIE (MD)'s listing?
CORY ALLEN LUCKIE (MD)'s public classification highlights Medical Toxicology (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to CORY ALLEN LUCKIE (MD)?
CORY ALLEN LUCKIE (MD) shows a connection to Deatsville, Alabama in registry-derived data.
Who maintains CORY ALLEN LUCKIE (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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