DR. LUIS A CONCEPCION (M.D.) – Hematology & Oncology Physician, NPI 1194778449
Hematology & Oncology Physician
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Profile Insights
NPPES metrics only — not quality of care.
197 HEMATOLOGY/ONCOLOGY in KY
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Provider Addresses for DR. LUIS A CONCEPCION (M.D.)
Paducah Post Office, Washington Street, Paducah, McCracken County, Kentucky, 42002, United States
PADUCAH, KY 420028449
Phone: (270) 444-3930
Fax: (270) 442-5284
Type: Mailing
2603, Kentucky Avenue, Paducah, McCracken County, Kentucky, 42003, United States
SUITE 403
PADUCAH, KY 420033814
Phone: (270) 444-3930
Fax: (270) 442-5284
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $856.
Total Amount is formed as General ($856) + Research ($0) + Ownership ($0) = $856.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: PFIZER INC. ($100).
Total Amount
$856
General + Research + Ownership
Payments
43
Total payment records
General Amount
$856
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
| Company | Amount |
|---|---|
| PFIZER INC. | $100 |
| Novartis Pharmaceuticals Corporation | $95 |
| Celgene Corporation | $72 |
| E.R. Squibb & Sons, L.L.C. | $52 |
| Tempus AI, Inc | $47 |
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: 2006-03-29
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 |
|---|---|---|---|---|
| I20060329000463 | I | Hematology/Oncology | KY | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 492 | 217 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 372 | 246 | $0 |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 168 | 73 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 51 | 51 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 31 | 15 | $0 |
Insurance plans in this area (ZIP 42002)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| HEMATOLOGY/ONCOLOGY | KY | 85610 | Blood test, clotting time | 274 | 20 |
| HEMATOLOGY/ONCOLOGY | KY | 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 596 | 157 |
| HEMATOLOGY/ONCOLOGY | KY | 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 353 | 129 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| - | KY | |
| - | KY | |
| General Practice | KY | |
| P S Y C H I A T R Y | KY | |
| Thoracic Surgery, Cardiac Surgery | KY | |
| N E U R O S U R G E R Y | KY | |
| Physician Assistant | KY | |
| Emergency Medicine, General Practice | KY | |
| Hematology/Oncology, Internal Medicine | KY |
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