LUCAS AKIHIKO PUTTOCK (DO) – Hospice and Palliative Medicine (Internal Medicine) Physician, NPI 1194119008

LUCAS AKIHIKO PUTTOCK (DO) is a healthcare provider. based in Huntington beach, California. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. DO.1975 (AL). The NPI Number for LUCAS AKIHIKO PUTTOCK (DO) is 1194119008

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
LUCAS AKIHIKO PUTTOCK (DO)
NPI
1194119008
Phone
(714) 595-3985
Address
16611 Greenview Ln
Enumeration Date
28 March 2015
Last Update Date
7 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7144567890
Graduation Year
2015 (11 years ago)
PAC ID
2567764095
Group Practice PAC ID
3971609611
Professional Enrollment ID
I20201005000560
Address ID
CA928683201OR101XXSXXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:11State licenses:2Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

Provider Addresses for LUCAS AKIHIKO PUTTOCK (DO)

  • 16611 Greenview Ln

    Huntington Beach, CA 926493709

    Phone: (714) 595-3985

    Type: Location

  • 16611 GREENVIEW LN

    HUNTINGTON BEACH, CA 926493709

    Phone: (714) 595-3985

    Type: Mailing

  • 101 THE CITY DR S STE 1001

    ORANGE, CA 928683201

    Phone: (714) 595-3985

    Type: Location

  • 200 S MANCHESTER AVE STE 300

    ORANGE, CA 928683219

    Phone: (714) 456-2986

    Type: Mailing

  • 101 THE CITY DR S

    ORANGE, CA 928683201

    Phone: (714) 880-7812

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-10-05

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
I20201005000560IInternal MedicineCATBD

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 minutes18769$0
99215Established patient office or other outpatient visit, 40-54 minutes10375$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6645$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5050$0
99239Hospital discharge day management, more than 30 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 92649)

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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: 3971609611View full group profile
NameSpecialtyState
Internal Medicine, HospitalistCA
Internal MedicineCA
Internal MedicineMO
Internal MedicineCA
Internal MedicineCA
Internal MedicineCA
Family PracticeCA
Internal MedicineCA
Internal MedicineCA
Hospice/Palliative Care, Internal MedicineCA

Reviews

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Frequently asked questions

How is LUCAS AKIHIKO PUTTOCK (DO) identified in CMS data?
CMS-hosted NPPES data lists LUCAS AKIHIKO PUTTOCK (DO) with NPI 1194119008.
Can I rely on LUCAS AKIHIKO PUTTOCK (DO) being an active provider?
As of the registry snapshot, LUCAS AKIHIKO PUTTOCK (DO) is marked active.
What taxonomy line describes LUCAS AKIHIKO PUTTOCK (DO)?
For research purposes, treat LUCAS AKIHIKO PUTTOCK (DO) as Hospice and Palliative Medicine (Internal Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is LUCAS AKIHIKO PUTTOCK (DO) based?
LUCAS AKIHIKO PUTTOCK (DO) is tied to Huntington Beach, California in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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