LUCAS R DERTING (PA-C) – Physician Assistant, NPI 1306846381
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for LUCAS R DERTING (PA-C)
Beet Box, 1030, East 22nd Avenue, Five Points, Denver, Denver County, Colorado, 80205, United States
DENVER, CO 802560825
Phone: (719) 595-7580
Fax: (719) 545-0176
Type: Mailing
1600, North Grand Avenue, Mineral Palace, Pueblo, Pueblo County, Colorado, 81003, United States
SUITE 500
PUEBLO, CO 810032757
Phone: (719) 545-0663
Fax: (719) 595-7903
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $43.
Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.
Last reported payment date: 2023-08-23 • Largest payer in this snapshot: Stryker Corporation ($22).
Total Amount
$43
General + Research + Ownership
Payments
2
Total payment records
General Amount
$43
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $22 |
| Medtronic, Inc. | $21 |
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: 2008-11-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081118000722 | I | Physician Assistant | CO | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 102 | 15 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 70 | 57 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 80256)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| - | CO | |
| - | CO | |
| Vascular Surgery | CO | |
| - | CO | |
| A N E S T H E S I O L O G Y | FL | |
| - | TX | |
| Certified Registered Nurse Anesthetist (Crna) | LA | |
| - | CO | |
| A N E S T H E S I O L O G Y | CO |
Reviews
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