AMANDA MARIE LOUCKS (MD) – Student in an Organized Health Care Education/Training Program, NPI 1457640476

AMANDA MARIE LOUCKS (MD) is a healthcare provider. based in Charlottesville, Virginia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 0101256130 (VA). The NPI Number for AMANDA MARIE LOUCKS (MD) is 1457640476

Main info

Female
15 Years Of Experience
Name
AMANDA MARIE LOUCKS (MD)
NPI
1457640476
Phone
(434) 924-0211
Address
1215 LEE ST
Enumeration Date
30 March 2011
Last Update Date
27 June 2014

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
5404339151
Graduation Year
2011 (15 years ago)
PAC ID
3577791862
Group Practice PAC ID
3274792049
Professional Enrollment ID
I20140815002085
Address ID
VA228018743HA1831XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,184 FAMILY PRACTICE in VA

Provider Addresses for AMANDA MARIE LOUCKS (MD)

  • 1215 LEE ST

    BOX 800729

    CHARLOTTESVILLE, VA 229080816

    Phone: (434) 924-0211

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 273 Open Payments records for all available years, with a total value of $3,957.

Total Amount is formed as General ($3,957) + Research ($0) + Ownership ($0) = $3,957.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: PFIZER INC. ($641).

Total Amount

$3,957

General + Research + Ownership

Payments

273

Total payment records

General Amount

$3,957

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-08-15

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1019 days ago).

Enrollment records

1

Earliest due date

2023-08-31

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
I20140815002085IFamily PracticeVA2023-08-31

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.

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
99214Established patient office or other outpatient visit, 30-39 minutes493198$0
36415Insertion of needle into vein for collection of blood sample341174$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count212145$0
99213Established patient office or other outpatient visit, 20-29 minutes181129$0
80048Blood test, basic group of blood chemicals (calcium, total)16191$0
View full utilization report →

Insurance plans in this area (ZIP 22908)

Loading plans...

Provider's Procedures

AMANDA MARIE LOUCKS (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEVA83036Hemoglobin A1C level4932

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: 3274792049View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for AMANDA MARIE LOUCKS (MD)?
AMANDA MARIE LOUCKS (MD) — NPI 1457640476 — is the standard way to identify this listing.
Can I rely on AMANDA MARIE LOUCKS (MD) being an active provider?
As of the registry snapshot, AMANDA MARIE LOUCKS (MD) is marked active.
What taxonomy line describes AMANDA MARIE LOUCKS (MD)?
For research purposes, treat AMANDA MARIE LOUCKS (MD) as Student in an Organized Health Care Education/Training Program in this dataset. Clinical services aligned with this taxonomy classification.
Where is AMANDA MARIE LOUCKS (MD) based?
AMANDA MARIE LOUCKS (MD) is tied to Charlottesville, Virginia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

DR. EFLAND H. AMERSON (PSYD)

Clinical Psychologist
PSC 474 BOX 8203
NPI: 1356393235

DR. JASON R MOORE (M.D.)

Vascular Surgery Physician
595 Martha Jefferson Dr Ste 270
NPI: 1023037348
LEE STREET GROUND FLOOR
NPI: 1194839639

DR. FRANK W DIPAOLA (MD)

Pediatric Gastroenterology Physician
1500 East Medical Center Dr
NPI: 1477600336

SCOTT A SMITH (MD)

Infectious Disease Physician
1215 Lee St
NPI: 1538216346

ANDREW R. VRANIC (M.D.)

Pulmonary Disease Physician
5 Hospital Dr
NPI: 1851448716