ADAM LUCKETTE (PA-C) – Physician Assistant, NPI 1992947535
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for ADAM LUCKETTE (PA-C)
925 N La Brea Ave Ste 400
West Hollywood, CA 900382458
Phone: (725) 209-3053
Fax: (855) 927-7788
Type: Location
5809 W Modoc Ave
Visalia, CA 932918527
Phone: (725) 209-3053
Fax: (855) 927-7788
Type: Location
101 Convention Center Dr Ste 900
Las Vegas, NV 891092039
Phone: (725) 209-3053
Fax: (855) 927-7788
Type: Location
5852 Corral Way
LA Jolla, CA 920377423
Phone: (725) 209-3053
Fax: (855) 927-7788
Type: Location
Box Canyon Drive, Las Vegas, Clark County, Nevada, 89108-4577, United States
LAS VEGAS, NV 891370644
Phone: (702) 360-6003
Fax: (702) 360-6006
Type: Mailing
West Post Road, Paradise, Clark County, Nevada, 89119-1001, United States
LAS VEGAS, NV 891136647
Phone: (702) 369-0088
Fax: (702) 893-4913
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $1,082.
Total Amount is formed as General ($1,082) + Research ($0) + Ownership ($0) = $1,082.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Abbott Laboratories ($1,082).
Total Amount
$1,082
General + Research + Ownership
Payments
26
Total payment records
General Amount
$1,082
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $1,082 |
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: 2025-11-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111122000926 | I | Physician Assistant | NV | TBD |
| I20250508003585 | I | Physician Assistant | FL | TBD |
| I20251124002736 | I | Physician Assistant | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97542 | Evaluation for wheelchair, each 15 minutes | 1,213 | 603 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 785 | 785 | $0 |
| G0372 | Physician service required to establish and document the need for a power mobility device | 696 | 693 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 31 | 31 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 90038)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Nurse Practitioner | NV | |
| Family Practice | TN | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV | |
| Family Practice | IL | |
| Physician Assistant | NV | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV |
Reviews
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