DR. LUCAS ANTHONY TRAUTMAN (M.D., M.P.H.) – Psychiatry Physician, NPI 1497978258
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
541 PSYCHIATRY in TN
Provider Addresses for DR. LUCAS ANTHONY TRAUTMAN (M.D., M.P.H.)
4646 Poplar Ave Ste 409
Memphis, TN 381174434
Phone: (901) 505-1711
Fax: (901) 207-2499
Type: Location
458 Hannings Ln
Martin, TN 38237
Phone: (731) 588-2830
Type: Location
2441A COUNTY ROAD 501
RIPLEY, MS 386639677
Phone: (662) 837-8154
Fax: (662) 837-9462
Type: Mailing
3064 STEEPLEGATE DR
GERMANTOWN, TN 381387746
Phone:
Type: Mailing
2911 BRUNSWICK RD
BARTLETT, TN 381334105
Phone: (901) 377-4700
Type: Location
519 PEABODY GREEN CV
MEMPHIS, TN 381044079
Phone:
Type: Mailing
4646 POPLAR AVE STE 409
MEMPHIS, TN 381174434
Phone: (901) 505-1711
Fax: (901) 207-2499
Type: Location
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 $25.
Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($25).
Total Amount
$25
General + Research + Ownership
Payments
1
Total payment records
General Amount
$25
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $25 |
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: 2012-06-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (926 days ago).
Enrollment records
2
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20091118000465 | I | Psychiatry | TN | 2023-11-30 |
| I20120622000368 | I | Psychiatry | MS | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 38117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | TN | |
| Nurse Practitioner | MD |
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