DERRICK LUGANO – Acute Care Nurse Practitioner, NPI 1033704168

DERRICK LUGANO is a healthcare provider. based in Tulsa, Oklahoma. specializing in NURSE PRACTITIONER. They hold a License No. 201450 (OK). The NPI Number for DERRICK LUGANO is 1033704168

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DERRICK LUGANO
NPI
1033704168
Phone
(918) 307-5490
Address
10505 E 91ST ST STE 205
Enumeration Date
1 March 2021
Last Update Date
1 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9183075490
Graduation Year
2020 (6 years ago)
PAC ID
1355759051
Group Practice PAC ID
7618248105
Professional Enrollment ID
I20210419001262
Address ID
OK741335829TU10505STXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for DERRICK LUGANO

  • 10505 E 91ST ST STE 205

    TULSA, OK 741335829

    Phone: (918) 307-5490

    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 10 Open Payments records for all available years, with a total value of $255.

Total Amount is formed as General ($255) + Research ($0) + Ownership ($0) = $255.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: SANOFI-AVENTIS U.S. LLC ($57).

Total Amount

$255

General + Research + Ownership

Payments

10

Total payment records

General Amount

$255

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

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: 2021-04-19

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
I20210419001262INurse PractitionerOKTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes12744$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 74133)

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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: 7618248105View full group profile
NameSpecialtyState
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

What identifier follows DERRICK LUGANO across health systems?
The NPI 1033704168 uniquely identifies DERRICK LUGANO in U.S. healthcare data.
Should I treat DERRICK LUGANO as an active provider?
Patients and plans typically see DERRICK LUGANO as active in the national extract.
What type of care does DERRICK LUGANO provide?
DERRICK LUGANO's profile centers on Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to DERRICK LUGANO?
DERRICK LUGANO shows a connection to Tulsa, Oklahoma in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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