LYDIA AN LUU (MD) – MOHS-Micrographic Surgery Physician, NPI 1285262170
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
74 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in PA
Provider Addresses for LYDIA AN LUU (MD)
500 UNIVERSITY DR
HERSHEY, PA 170332360
Phone:
Type: Mailing
675 PEWTER CT APT 405
CHARLOTTESVILLE, VA 229118476
Phone:
Type: Mailing
1215 LEE ST
CHARLOTTESVILLE, VA 229080816
Phone: (434) 924-5115
Type: Location
14305 SOUTHCROSS DR W STE 110
BURNSVILLE, MN 553067011
Phone: (651) 340-1064
Type: Mailing
14001 Ridgedale Dr
Hopkins, MN 553051753
Phone: (763) 316-4407
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 $339.
Total Amount is formed as General ($339) + Research ($0) + Ownership ($0) = $339.
Last reported payment date: 2024-03-10 • Largest payer in this snapshot: Incyte Corporation ($139).
Total Amount
$339
General + Research + Ownership
Payments
3
Total payment records
General Amount
$339
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Incyte Corporation | $139 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $110 |
| SANOFI-AVENTIS U.S. LLC | $90 |
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: 2025-07-24
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 |
|---|---|---|---|---|
| I20250724002168 | I | Micrographic Dermatologic Surgery (Mds) | MN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 17033)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MN | |
| Micrographic Dermatologic Surgery (Mds), Dermatology, Dermatology | MN | |
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | CO | |
| Physician Assistant | MN | |
| D E R M A T O L O G Y | MN | |
| Physician Assistant | IL |
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