DR. CHAO LU (DDS) – Orofacial Pain Dentistry, NPI 1669765939

DR. CHAO LU (DDS) is a healthcare provider. based in Boston, Massachusetts. specializing in DENTIST. They hold the professional credentials DDS. They hold a License No. DL11202 (MA). The NPI Number for DR. CHAO LU (DDS) is 1669765939

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHAO LU (DDS)
NPI
1669765939
Phone
(617) 636-6817
Address
1 KNEELAND ST # 601
Enumeration Date
19 May 2011
Last Update Date
10 May 2024

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
5698948834
Group Practice PAC ID
3779522628
Professional Enrollment ID
I20111102000908
Address ID
MA021111527BO200XXAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:15State licenses:2Digital endpointsOther names

72 DENTIST in MA

Provider Addresses for DR. CHAO LU (DDS)

  • 1 KNEELAND ST # 601

    BOSTON, MA 021111527

    Phone: (617) 636-6817

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2023-02-08 • Largest payer in this snapshot: Nobel Biocare USA ($36).

Total Amount

$36

General + Research + Ownership

Payments

1

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Nobel Biocare USA$36
View all Open Payments →|Open Payments Risk Radar →

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: 2011-11-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111102000908IDentistMATBD

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
99212Established patient office or other outpatient visit, 10-19 minutes5030$0
99203New patient office or other outpatient visit, 30-44 minutes1414$0
70355X-ray of lower jaws, upper jaws and teeth1111$0
View full utilization report →

Insurance plans in this area (ZIP 02111)

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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: 3779522628View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. CHAO LU (DDS)?
The federal identifier for DR. CHAO LU (DDS) is NPI 1669765939.
Is DR. CHAO LU (DDS)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. CHAO LU (DDS) work in?
You can think of DR. CHAO LU (DDS) as practicing within Orofacial Pain Dentistry. Clinical services aligned with this taxonomy classification.
Where does public data place DR. CHAO LU (DDS)?
The snapshot lists Boston, Massachusetts for DR. CHAO LU (DDS); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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