PETER C LUCAS (MD) – Molecular Genetic Pathology (Pathology) Physician, NPI 1457433419

PETER C LUCAS (MD) is a healthcare provider. based in Ann arbor, Michigan. specializing in Molecular Genetic Pathology (Pathology) Physician. They hold the professional credentials MD. They hold a License No. 75395 (MN). The NPI Number for PETER C LUCAS (MD) is 1457433419

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
PETER C LUCAS (MD)
NPI
1457433419
Phone
(734) 936-2047
Address
3621 S STATE ST
Enumeration Date
19 October 2006
Last Update Date
27 December 2023

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
9931244647
Group Practice PAC ID
8729990239
Professional Enrollment ID
I20130501000020

Contacts

Secure Messaging
plucas2060626@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

Provider Addresses for PETER C LUCAS (MD)

  • South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States

    700 KMS PLACE

    ANN ARBOR, MI 48108

    Phone: (734) 936-2047

    Type: Mailing

  • 1500 East Medical Center Dr

    2nd floor University Hospital Recp Pathology

    Ann Arbor, MI 481095054

    Phone: (800) 862-7284

    Type: Location

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Mailing

  • Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States

    2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY

    ANN ARBOR, MI 481095054

    Phone: (800) 862-7284

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $3,432.

Total Amount is formed as General ($0) + Research ($3,432) + Ownership ($0) = $3,432.

Last reported payment date: 2023-06-30 • Largest payer in this snapshot: F. Hoffmann-La Roche AG ($3,432).

Total Amount

$3,432

General + Research + Ownership

Payments

3

Total payment records

General Amount

$0

General payments

Research Amount

$3,432

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
F. Hoffmann-La Roche AG$3,432
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: 2023-11-20

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
I20231120002602IPathologyMNTBD

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
G0452Molecular pathology procedure; physician interpretation and report5145$0
88381Preparation of specimen, manual3131$0
View full utilization report →

Insurance plans in this area (ZIP 48108)

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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: 8729990239View full group profile
NameSpecialtyState
Anesthesiology, Critical Care (Intensivists)PA
-PA
-PA
Cardiac Surgery, General SurgeryPA
Nurse PractitionerPA
-PA
-MD
-SC
-PA
-PA

Reviews

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Frequently asked questions

How is PETER C LUCAS (MD) identified in CMS data?
CMS-hosted NPPES data lists PETER C LUCAS (MD) with NPI 1457433419.
Can I rely on PETER C LUCAS (MD) being an active provider?
As of the registry snapshot, PETER C LUCAS (MD) is marked active.
What is PETER C LUCAS (MD)'s primary classification?
Molecular Genetic Pathology (Pathology) Physician is the headline specialty for PETER C LUCAS (MD) here. Clinical services aligned with this taxonomy classification.
Does PETER C LUCAS (MD) list a practice location?
Patients near Ann Arbor, Michigan may find PETER C LUCAS (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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