DR. KELLI RENEE LUTTRELL (D.O.) – Obstetrics & Gynecology Physician, NPI 1104072123
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
995 OBSTETRICS/GYNECOLOGY in MD
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Provider Addresses for DR. KELLI RENEE LUTTRELL (D.O.)
PO BOX 1978
SALISBURY, MD 218021978
Phone: (410) 749-1015
Fax: (410) 749-0654
Type: Mailing
1647, Woodbrooke Drive, Hotton Acres, Salisbury, Wicomico County, Maryland, 21804, United States
SALISBURY, MD 218048502
Phone: (410) 546-2424
Fax: (410) 742-6633
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $285.
Total Amount is formed as General ($285) + Research ($0) + Ownership ($0) = $285.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Astellas Pharma US Inc ($47).
Total Amount
$285
General + Research + Ownership
Payments
14
Total payment records
General Amount
$285
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $47 |
| Organon LLC | $39 |
| Exact Sciences Corporation | $38 |
| Merck Sharp & Dohme LLC | $36 |
| Baxter Healthcare | $33 |
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: 2025-07-28
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 |
|---|---|---|---|---|
| I20250728002627 | I | Obstetrics/Gynecology | DE | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 21802)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OBSTETRICS/GYNECOLOGY | MD | 81002 | Urinalysis, manual test | 19 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | AZ | |
| - | PA | |
| - | SC | |
| O B S T E T R I C S/ G Y N E C O L O G Y | DE |
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