CORIANNA LUCKY (PA-C) – Physician Assistant, NPI 1326015892
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for CORIANNA LUCKY (PA-C)
1701 SOUTH BLVD E STE 160
ROCHESTER HILLS, MI 483076115
Phone: (248) 598-5080
Fax: (248) 598-5088
Type: Mailing
1701 South Blvd E Ste 160
Rochester Hills, MI 483076115
Phone: (248) 598-5080
Fax: (248) 598-5088
Type: Location
44201 DEQUINDRE RD
TROY, MI 480851117
Phone: (248) 964-4866
Fax: (248) 964-4848
Type: Location
26901 BEAUMONT BLVD # 3D
SOUTHFIELD, MI 480333849
Phone: (947) 522-1952
Fax: (947) 522-0307
Type: Mailing
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 $120.
Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.
Last reported payment date: 2024-10-05 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($120).
Total Amount
$120
General + Research + Ownership
Payments
1
Total payment records
General Amount
$120
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $120 |
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: 2004-06-24
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 |
|---|---|---|---|---|
| I20040624000477 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 120 | 116 | $0 |
| G0316 | Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th | 75 | 36 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 55 | 55 | $0 |
Insurance plans in this area (ZIP 48307)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Interventional Radiology, Diagnostic Radiology | MI | |
| - | MI | |
| - | MI | |
| Family Practice | MI | |
| - | MI | |
| P A T H O L O G Y | MI | |
| - | MI | |
| Emergency Medicine | CA | |
| - | MI |
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