LUCIEN R. OUELLETTE (M.D.) – Pediatric Sports Medicine Physician, NPI 1114952991
Pediatric Sports Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
185 SPORTS MEDICINE in VA
Provider Addresses for LUCIEN R. OUELLETTE (M.D.)
1423 B SOUTH MAIN STREET
FARMVILLE, VA 239012531
Phone: (434) 207-5170
Type: Location
33 Sewall St
Portland, ME 041022603
Phone: (207) 828-2100
Type: Location
P. O. BOX 715868
PHILADELPHIA, PA 191715868
Phone: (804) 327-9242
Type: Mailing
1409 S MAIN STREET
FARMVILLE, VA 239012531
Phone: (434) 207-5170
Fax: (434) 485-8599
Type: Location
Gannett Drive, South Portland, Cumberland County, Maine, 04092, United States
SOUTH PORTLAND, ME 041063266
Phone: (207) 482-7800
Type: Mailing
33, Sewall Street, Rosemont, Portland, Cumberland County, Maine, 04102, United States
PORTLAND, ME 041022603
Phone: (207) 828-2100
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 $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2024-01-31 • Largest payer in this snapshot: Fortis Surgical, LLC ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Fortis Surgical, LLC | $20 |
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: 2022-08-18
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 |
|---|---|---|---|---|
| I20220818003860 | I | Sports Medicine | VA | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,128 | 201 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 287 | 287 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 248 | 189 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 246 | 182 | $0 |
| 73562 | X-ray of knee, 3 views | 143 | 112 | $0 |
Insurance plans in this area (ZIP 23901)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| - | VA | |
| Physician Assistant | VA | |
| Physical Therapist In Private Practice | VA | |
| Physical Therapist In Private Practice | VA | |
| Physical Therapist In Private Practice | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA |
Reviews
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