DR. STEPHANIE N LUECKEL (M.D.) – Surgical Critical Care Physician, NPI 1073730065

DR. STEPHANIE N LUECKEL (M.D.) is a healthcare provider. based in Providence, Rhode Island. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. MD14003 (RI). The NPI Number for DR. STEPHANIE N LUECKEL (M.D.) is 1073730065

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEPHANIE N LUECKEL (M.D.)
NPI
1073730065
Phone
(401) 228-0630
Address
2 DUDLEY ST STE 470
Enumeration Date
19 April 2007
Last Update Date
19 November 2025

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4012721800
Graduation Year
2005 (21 years ago)
PAC ID
4486835212
Group Practice PAC ID
2567455082
Professional Enrollment ID
I20120921000524
Address ID
RI029053248PR2XXXXSTXX309

Contacts

Secure Messaging
Stephanie.Lueckel.usasurg@direct-address.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness95
Years active:19State licenses:2Other names

147 GENERAL SURGERY in RI

Provider Addresses for DR. STEPHANIE N LUECKEL (M.D.)

  • 2 DUDLEY ST STE 470

    PROVIDENCE, RI 029053248

    Phone: (401) 228-0630

    Fax: (401) 868-2328

    Type: Location

  • 593 EDDY ST

    APC4

    PROVIDENCE, RI 029034923

    Phone: (401) 444-0369

    Fax: (401) 444-6681

    Type: Location

  • 593 Eddy St

    APC4

    Providence, RI 029034923

    Phone: (401) 444-0369

    Fax: (401) 444-6681

    Type: Location

  • PO BOX 16149

    RUMFORD, RI 029160697

    Phone: (401) 453-9625

    Fax: (401) 435-7069

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $144.

Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.

Last reported payment date: 2024-05-07 • Largest payer in this snapshot: Baxter Healthcare ($144).

Total Amount

$144

General + Research + Ownership

Payments

2

Total payment records

General Amount

$144

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Baxter Healthcare$144
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: 2012-09-21

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
I20120921000524IGeneral SurgeryRITBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes7151$0
99291Critical care, first 30-74 minutes5737$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2820$0
99283Emergency department visit with low level of medical decision making2727$0
99284Emergency department visit with moderate level of medical decision making2020$0
View full utilization report →

Insurance plans in this area (ZIP 02905)

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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: 2567455082View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. STEPHANIE N LUECKEL (M.D.)?
Save NPI 1073730065 if you need a stable reference for DR. STEPHANIE N LUECKEL (M.D.).
Is DR. STEPHANIE N LUECKEL (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. STEPHANIE N LUECKEL (M.D.) work in?
You can think of DR. STEPHANIE N LUECKEL (M.D.) as practicing within Surgical Critical Care Physician. Clinical services aligned with this taxonomy classification.
Does DR. STEPHANIE N LUECKEL (M.D.) practice in Rhode Island?
You will see Providence, Rhode Island on file for DR. STEPHANIE N LUECKEL (M.D.) alongside any extra practice locations.
What if Providence, Rhode Island seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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