JEANINE LUTGEN (PA-C) – Surgical Physician Assistant, NPI 1609936772
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,685 PHYSICIAN ASSISTANT in AZ
Provider Addresses for JEANINE LUTGEN (PA-C)
6750 E Baywood Ave
Mesa, AZ 852061749
Phone: (480) 854-5000
Type: Location
5555 W Thunderbird Rd
Glendale, AZ 853064622
Phone: (602) 865-5555
Type: Location
1955 W Frye Rd
Chandler, AZ 852246282
Phone: (489) 728-3000
Type: Location
9201 W Thomas Rd
Phoenix, AZ 850373332
Phone: (623) 327-4000
Type: Location
10401 W Thunderbird Blvd
Sun City, AZ 853513004
Phone: (623) 997-7211
Type: Location
13677 W McDowell Rd
Goodyear, AZ 853952635
Phone: (623) 882-1500
Type: Location
18701 N 67th Ave
Glendale, AZ 853087100
Phone: (623) 561-1000
Type: Location
1930 E Thomas Rd
Phoenix, AZ 850167711
Phone: (602) 532-1000
Type: Location
1400 S Dobson Rd
Mesa, AZ 852024707
Phone: (480) 512-3000
Type: Location
PO BOX 436
LAVEEN, AZ 853390436
Phone: (602) 795-3371
Type: Mailing
4521, West Hopi Trail, Dobbins Point, Laveen, Phoenix, Maricopa County, Arizona, 85339, United States
LAVEEN, AZ 853392068
Phone: (602) 795-3371
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2007-05-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070521000272 | I | Physician Assistant | AZ | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 29 | 23 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 21 | 21 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 85206)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Gastroenterology | AZ | |
| Physician Assistant | AZ | |
| Nurse Practitioner | AZ | |
| Infectious Disease, Internal Medicine | AZ | |
| Nurse Practitioner | AZ | |
| Cardiac Surgery | IN | |
| - | AZ | |
| General Surgery | AZ | |
| Sports Medicine | IL | |
| Orthopedic Surgery | AZ |
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