CHRISTOPHER THOMAS LUCIDO (MD/PHD) – Dermatology Physician, NPI 1205416906

CHRISTOPHER THOMAS LUCIDO (MD/PHD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in DERMATOLOGY. They hold the professional credentials MD/PHD. They hold a License No. 79966 (MN). The NPI Number for CHRISTOPHER THOMAS LUCIDO (MD/PHD) is 1205416906

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTOPHER THOMAS LUCIDO (MD/PHD)
NPI
1205416906
Phone
(612) 624-9964
Address
420 Delaware Street SE, MMC 98
Enumeration Date
8 April 2021
Last Update Date
12 August 2025

Doctor Profile

Medical School Name
SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Secondary Phone
9529203808
Graduation Year
2021 (5 years ago)
PAC ID
4880099506
Group Practice PAC ID
1456248137
Professional Enrollment ID
I20250903002559
Address ID
MN554352544ED3316XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

419 DERMATOLOGY in MN

Provider Addresses for CHRISTOPHER THOMAS LUCIDO (MD/PHD)

  • 420 Delaware Street SE, MMC 98

    Minneapolis, MN 55455

    Phone: (612) 624-9964

    Type: Location

  • 1400 W 22nd St

    Sioux Falls, SD 571051554

    Phone: (605) 357-1380

    Type: Location

  • 3316 W 66TH ST

    EDINA, MN 554352532

    Phone: (952) 920-3808

    Fax: (952) 920-8899

    Type: Mailing

  • 420 DELAWARE STREET SE, MMC 98

    MINNEAPOLIS, MN 55455

    Phone: (612) 624-9964

    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 $130.

Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.

Last reported payment date: 2024-03-07 • Largest payer in this snapshot: Janssen Biotech, Inc. ($130).

Total Amount

$130

General + Research + Ownership

Payments

1

Total payment records

General Amount

$130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Janssen Biotech, Inc.$130
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: 2025-09-03

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
I20250903002559IDermatologyMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55455)

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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: 1456248137View full group profile
NameSpecialtyState
Micrographic Dermatologic Surgery (Mds)PA
D E R M A T O L O G YMN
D E R M A T O L O G YMN
D E R M A T O L O G YMN
P A T H O L O G YMN
-MN
D E R M A T O L O G YMN
-MN
D E R M A T O L O G YMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

Is there an official ID for CHRISTOPHER THOMAS LUCIDO (MD/PHD) in U.S. healthcare records?
The official identifier for CHRISTOPHER THOMAS LUCIDO (MD/PHD) is NPI 1205416906.
Is there an active status for CHRISTOPHER THOMAS LUCIDO (MD/PHD)?
For scheduling context, CHRISTOPHER THOMAS LUCIDO (MD/PHD) is shown as active in the registry.
What kind of doctor is CHRISTOPHER THOMAS LUCIDO (MD/PHD)?
CHRISTOPHER THOMAS LUCIDO (MD/PHD) is associated with Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with CHRISTOPHER THOMAS LUCIDO (MD/PHD)?
Directory geography for CHRISTOPHER THOMAS LUCIDO (MD/PHD) centers on Minneapolis, Minnesota.
When was this NPI issued?
Enumeration for CHRISTOPHER THOMAS LUCIDO (MD/PHD) is noted as April 8, 2021 where the registry provides it.

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