DR. KYLE G LUECKE (M.D.) – Diagnostic Radiology Physician, NPI 1063754729
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,529 DIAGNOSTIC RADIOLOGY in VA
Provider Addresses for DR. KYLE G LUECKE (M.D.)
PO BOX 9007
CHARLOTTESVILLE, VA 229069007
Phone: (434) 295-1000
Fax: (434) 972-4266
Type: Mailing
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Phone: (434) 924-9400
Fax: (434) 243-6999
Type: Location
PO BOX 919379
ORLANDO, FL 328910001
Phone: (844) 453-1406
Fax: (772) 621-3180
Type: Mailing
1200 7TH AVE N
ST PETERSBURG, FL 337051300
Phone: (727) 825-1100
Type: Location
1201 5th Ave N Ste 105
St Petersburg, FL 337051410
Phone: (727) 825-1100
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-08-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180611000718 | I | Diagnostic Radiology | VA | TBD |
| I20190823000650 | I | Diagnostic Radiology | FL | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 10,025 | 104 | $0 |
| A9585 | Injection, gadobutrol, 0.1 ml | 1,850 | 27 | $0 |
| 71045 | X-ray of chest, 1 view | 644 | 560 | $0 |
| 77063 | Screening 3d breast mammography | 372 | 372 | $0 |
| 77067 | Screening mammography | 366 | 366 | $0 |
Insurance plans in this area (ZIP 22906)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Interventional Radiology | FL | |
| - | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL |
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