Doctor profile · Federal record
Dr. Tananchai Lucktong, M.D.
Surgery Physician (CMS: General Surgery) · Roanoke, VA
- NPI 1578526067
- Accepts Medicare
- 31 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3 Riverside Circle
Roanoke, VA 24016
(540) 224-5170
fax (540) 983-8212
Credentials & registration
- NPI registered
- April 2006 — 20 yrs on file
- Profile last updated
- August 12, 2011
- Year of graduation
- 1995 — 31 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Virginia #0101-232309
- Medicaid (2)
- VA #7304480 · VA #010039762
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1578526067. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
71
Distinct HCPCS
4
Medicare allowed
$5,872
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99204 |
New patient office or other outpatient visit, 45-59 minutes | 20 | 20 | $129 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 19 | 16 | $34 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 18 | 18 | $80 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 14 | 13 | $86 |
In context: peer comparison
Among 12 peers in Roanoke Surgery Physician, average services per provider: 31. This provider delivers 2.3× the peer median.Open Payments
Industry payments received
All-time total
$148
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ethicon US, LLC | 1 | $148.29 |
By nature of payment
Frequently asked questions
What is Dr. Tananchai Lucktong's medical specialty?
Dr. Tananchai Lucktong practices Surgery Physician in Roanoke, VA.
Where does Dr. Tananchai Lucktong practice?
Dr. Tananchai Lucktong practices at 3 Riverside Circle, Roanoke, VA 24016. Office phone: 5402245170.
What is Dr. Tananchai Lucktong's NPI?
Dr. Tananchai Lucktong's National Provider Identifier (NPI) is 1578526067, issued by NPPES.
Does Dr. Tananchai Lucktong accept Medicare assignment?
Yes. Dr. Tananchai Lucktong accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Tananchai Lucktong commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99204); Established patient office or other outpatient visit (HCPCS 99212); New patient office or other outpatient visit (HCPCS 99203). Source: CMS Medicare Physician & Other Practitioners file.