WILLIAM DAVID SR. LUCKY (MD) – Specialist, NPI 1538168075
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,538 OBSTETRICS/GYNECOLOGY in FL
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Provider Addresses for WILLIAM DAVID SR. LUCKY (MD)
13727, Southwest 152nd Street, Miami-Dade County, Florida, 33177, United States
#104
MIAMI, FL 331771106
Phone: (305) 238-3990
Fax: (305) 254-6331
Type: Mailing
125, Northeast 8th Street, Homestead, Miami-Dade County, Florida, 33030, United States
SUITE 4
HOMESTEAD, FL 330304676
Phone: (305) 238-3990
Fax: (305) 254-6331
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $688.
Total Amount is formed as General ($688) + Research ($0) + Ownership ($0) = $688.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: ETS Wound Care LLC ($352).
Total Amount
$688
General + Research + Ownership
Payments
15
Total payment records
General Amount
$688
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ETS Wound Care LLC | $352 |
| Organogenesis Inc. | $129 |
| Smith+Nephew, Inc. | $115 |
| ABBVIE INC. | $23 |
| Urgo Medical North America, LLC | $19 |
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: 2004-07-29
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 |
|---|---|---|---|---|
| I20040729000884 | I | Obstetrics/Gynecology | FL | 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 |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 348 | 79 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 310 | 22 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 232 | 60 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 175 | 78 | $0 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 152 | 40 | $0 |
Insurance plans in this area (ZIP 33177)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OBSTETRICS/GYNECOLOGY | FL | 11042 | Removal of skin and tissue first 20 sq cm or less | 102 | 29 |
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