DR. MARY K LUECKENHOFF (OD) – Optometrist, NPI 1104842335
Optometrist
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Profile Insights
NPPES metrics only — not quality of care.
863 OPTOMETRY in MO
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Provider Addresses for DR. MARY K LUECKENHOFF (OD)
660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States
CB 8096
SAINT LOUIS, MO 631101010
Phone: (314) 362-3937
Fax: (314) 747-9478
Type: Mailing
Barnes-Jewish Hospital, 1, Barnes Jewish Hospital Plaza, Central West End, St. Louis, Missouri, 63110, United States
DIV OPTOMETRY, 1ST FL
SAINT LOUIS, MO 631101003
Phone: (314) 362-6123
Fax: (314) 747-3726
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2010-01-09
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 |
|---|---|---|---|---|
| I20100109000260 | I | Optometry | MO | 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 |
|---|---|---|---|---|
| 92004 | New patient complete exam of visual system | 197 | 197 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 163 | 157 | $0 |
| 92014 | Established patient complete exam of visual system | 75 | 75 | $0 |
| 76514 | Ultrasound scan of cornea to determine thickness | 65 | 65 | $0 |
| 92012 | Established patient problem focused exam of visual system | 29 | 28 | $0 |
Insurance plans in this area (ZIP 63110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | MO |
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