DUSTIN DEAN LUCARELLI (MD) – Surgery Physician, NPI 1003170424

DUSTIN DEAN LUCARELLI (MD) is a healthcare provider. based in Marshfield, Wisconsin. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 62251 (MN). The NPI Number for DUSTIN DEAN LUCARELLI (MD) is 1003170424

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DUSTIN DEAN LUCARELLI (MD)
NPI
1003170424
Phone
(715) 387-9222
Address
1000 N Oak Ave
Enumeration Date
29 June 2012
Last Update Date
4 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2182623441
Graduation Year
2012 (14 years ago)
PAC ID
4789815440
Group Practice PAC ID
8022920024
Professional Enrollment ID
I20170713001766

Contacts

Secure Messaging
him@slk.direct.slhduluth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

848 GENERAL SURGERY in WI

Provider Addresses for DUSTIN DEAN LUCARELLI (MD)

  • 1000 N Oak Ave

    Marshfield, WI 544495703

    Phone: (715) 387-9222

    Type: Location

  • 3605 MAYFAIR AVE

    HIBBING, MN 557462935

    Phone:

    Type: Mailing

  • 920 E 1ST ST STE P302

    DULUTH, MN 558052201

    Phone: (218) 262-4881

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $1,948.

Total Amount is formed as General ($1,948) + Research ($0) + Ownership ($0) = $1,948.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Davol Inc. ($1,448).

Total Amount

$1,948

General + Research + Ownership

Payments

11

Total payment records

General Amount

$1,948

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Davol Inc.$1,448
Intuitive Surgical, Inc.$500
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: 2017-07-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170713001766IGeneral SurgeryMNTBD

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.

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
99203New patient office or other outpatient visit, 30-44 minutes1717$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1615$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1511$0
View full utilization report →

Insurance plans in this area (ZIP 54449)

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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: 8022920024View full group profile

Reviews

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Frequently asked questions

How do payers reference DUSTIN DEAN LUCARELLI (MD)?
For DUSTIN DEAN LUCARELLI (MD), use NPI 1003170424 as the unique 10-digit identifier.
Active or inactive — what applies to DUSTIN DEAN LUCARELLI (MD)?
You should see DUSTIN DEAN LUCARELLI (MD) as active in CMS-hosted NPPES data.
How would a patient describe DUSTIN DEAN LUCARELLI (MD)'s focus?
For DUSTIN DEAN LUCARELLI (MD), the primary taxonomy reads as Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DUSTIN DEAN LUCARELLI (MD) located near Marshfield?
DUSTIN DEAN LUCARELLI (MD) currently maps to Marshfield, Wisconsin in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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