THOMAS JOHN LUCKEY (M.D.) – Emergency Medicine Physician, NPI 1003949330

THOMAS JOHN LUCKEY (M.D.) is a healthcare provider. based in Germantown, Maryland. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 0101243613 (VA). The NPI Number for THOMAS JOHN LUCKEY (M.D.) is 1003949330

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS JOHN LUCKEY (M.D.)
NPI
1003949330
Phone
(240) 686-2300
Address
20010 CENTURY BLVD
Enumeration Date
14 March 2007
Last Update Date
2 November 2012

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
9035446700
Graduation Year
2006 (20 years ago)
PAC ID
3476610874
Group Practice PAC ID
8527420306
Professional Enrollment ID
I20161103000688
Address ID
TX756058153LO323XXPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,497 EMERGENCY MEDICINE in VA

Provider Addresses for THOMAS JOHN LUCKEY (M.D.)

  • 20010 CENTURY BLVD

    STE 200

    GERMANTOWN, MD 208741115

    Phone: (240) 686-2300

    Type: Mailing

  • 8700 SUDLEY RD

    MANASSAS, VA 201104418

    Phone: (703) 369-8337

    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: 2020-06-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20090331000113IEmergency MedicineVATBD
I20111216000176IEmergency MedicineDCTBD
I20161103000688IEmergency MedicineTXTBD
I20190109000134IEmergency MedicineFLTBD
I20200617000454IEmergency MedicineWVTBD

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
99285Emergency department visit with high level of medical decision making228212$0
99284Emergency department visit with moderate level of medical decision making9187$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only8677$0
99291Critical care, first 30-74 minutes4948$0
99283Emergency department visit with low level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 20874)

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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: 8527420306View full group profile
NameSpecialtyState
Emergency MedicineTX
Nurse PractitionerTX
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineDE
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineTX

Reviews

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Frequently asked questions

Where can patients find THOMAS JOHN LUCKEY (M.D.)'s NPI?
You can confirm THOMAS JOHN LUCKEY (M.D.) with NPI 1003949330; it appears in the national provider directory.
Is THOMAS JOHN LUCKEY (M.D.) active in the national directory?
THOMAS JOHN LUCKEY (M.D.)'s public NPI profile is in an active state.
Does THOMAS JOHN LUCKEY (M.D.) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for THOMAS JOHN LUCKEY (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for THOMAS JOHN LUCKEY (M.D.)?
We surface Germantown, Maryland for THOMAS JOHN LUCKEY (M.D.) based on available NPPES addresses.
Is THOMAS JOHN LUCKEY (M.D.) a real provider?
This page reflects official NPPES data for NPI 1003949330. Always confirm identity and privileges with the practice and licensing boards.