LUCAN WATT CHATTERLEY DO
NPI 1053793489
Family Medicine in Kentwood, MI

Active since June 22, 2015PECOS EnrolledAccepts Medicare Assignment
4600 BRETON RD SE STE 102, KENTWOOD, MI 49508(616) 391-9700 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 21, 2023, Feb 22, 2021, Sep 3, 2019 (3 updates tracked since 2019).

About Lucan Watt Chatterley Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUCAN WATT CHATTERLEY DO (NPI 1053793489) is an individual family medicine provider in Kentwood, Michigan, licensed in Michigan (5101022000) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health - West, and is a graduate of Michigan State University College Of Osteopathic Medicine (2015).

NPPES Registry Identity

NPI1053793489
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLUCAN WATT CHATTERLEYCredential: DO
Location Address4600 BRETON RD SE STE 102Kentwood, MI 49508-5220
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2015
Enumeration DateJune 22, 2015
Last NPPES UpdateMarch 21, 20233 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
NPI 1053793489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 5101022000
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X · License 5101022000 (MI)
4600 BRETON RD SE STE 102, Kentwood, MI 49508

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lucan Watt Chatterley Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325352131
PECOS Enrollment IDI20170829002309
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
84 services55 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
42 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230236
Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49508 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4600 BRETON RD SE STE 102
KENTWOOD, MI 49508
Social Worker (Clinical)
4600 BRETON RD SE STE 102
KENTWOOD, MI 49508
Family Medicine
4600 BRETON RD SE STE 102
GRAND RAPIDS, MI 49508
Family Medicine
4600 BRETON RD SE STE 102
KENTWOOD, MI 49508
Physician Assistant
4600 BRETON RD SE STE 102
KENTWOOD, MI 49508
Physician Assistant
4600 BRETON RD SE STE 102
KENTWOOD, MI 49508
Family Medicine
4600 BRETON RD SE STE 102
KENTWOOD, MI 49508
Social Worker (Clinical)
4600 BRETON RD SE STE 102
KENTWOOD, MI 49508

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lucan Chatterley's NPI number?

The NPI number for Lucan Chatterley is 1053793489. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Where is Lucan Chatterley located?

Lucan Chatterley practices at 4600 Breton Rd SE Ste 102, Kentwood, MI 49508. The listed phone number is (616) 391-9700.

What is Lucan Chatterley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lucan Chatterley enrolled in Medicare?

Yes. Lucan Chatterley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lucan Chatterley accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Lucan Chatterley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lucan Chatterley affiliated with any hospitals?

According to CMS data, Lucan Chatterley is affiliated with University Of Michigan Health - West.

When was this NPI record last updated?

The NPPES record for Lucan Chatterley was last updated on March 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.