DR. LUCAS R COLLAZO (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1205805603
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
128 THORACIC SURGERY in VA
Provider Addresses for DR. LUCAS R COLLAZO (M.D.)
2921 TELESTAR CT
SUITE 140
FALLS CHURCH, VA 220421205
Phone: (703) 280-5858
Fax: (703) 280-2654
Mailing address matches the actual address.
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: 2023-08-03 • Largest payer in this snapshot: Abbott Laboratories ($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
2023-08-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $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: 2010-06-22
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 |
|---|---|---|---|---|
| I20100329001069 | I | Thoracic Surgery | VA | TBD |
| I20100622000563 | I | Cardiac Surgery | DC | 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 22042)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | HI | |
| H E M A T O L O G Y | WA | |
| - | VIR | |
| - | IL | |
| Orthopedic Surgery | VA | |
| - | VA | |
| Diagnostic Radiology | VA | |
| General Surgery | CT | |
| - | VA | |
| N E U R O S U R G E R Y | VA |
Reviews
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