CALEB MATTHEW LUSK (MD) – Addiction Medicine (Family Medicine) Physician, NPI 1386149912

CALEB MATTHEW LUSK (MD) is a healthcare provider. based in New haven, Connecticut. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 69006 (CT). The NPI Number for CALEB MATTHEW LUSK (MD) is 1386149912

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
CALEB MATTHEW LUSK (MD)
NPI
1386149912
Phone
(203) 781-4600
Address
1 LONG WHARF DR STE 321
Enumeration Date
26 March 2018
Last Update Date
28 March 2023

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3105470202
Graduation Year
2018 (8 years ago)
PAC ID
8325441058
Group Practice PAC ID
8022166826
Professional Enrollment ID
I20220914003787
Address ID
CA907312521SA593XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:8State licenses:2Digital endpointsOther names

822 FAMILY PRACTICE in CT

Provider Addresses for CALEB MATTHEW LUSK (MD)

  • 1 LONG WHARF DR STE 321

    NEW HAVEN, CT 065115946

    Phone: (203) 781-4600

    Type: Mailing

  • Riverside Community Hospital, 4445, Magnolia Avenue, Riverside, Riverside County, California, 92501, United States

    RIVERSIDE, CA 925014135

    Phone: (951) 788-3000

    Type: Mailing

  • 593 W 6TH ST

    SAN PEDRO, CA 907312521

    Phone: (310) 547-0202

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $5,916.

Total Amount is formed as General ($5,916) + Research ($0) + Ownership ($0) = $5,916.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Gilead Sciences, Inc. ($5,119).

Total Amount

$5,916

General + Research + Ownership

Payments

57

Total payment records

General Amount

$5,916

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

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: 2022-09-14

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
I20220914003787IFamily PracticeCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06511)

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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: 8022166826View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCA
P O D I A T R YCA
Family PracticeCA
Physician AssistantCA
Clinical Social WorkerCA
-TN
Nurse PractitionerCA
Family PracticeCA
-CA
Physician AssistantCA

Reviews

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Frequently asked questions

Can I use this page to confirm CALEB MATTHEW LUSK (MD)'s NPI?
Yes. CALEB MATTHEW LUSK (MD) is listed with NPI 1386149912 in the public NPI dataset.
Is CALEB MATTHEW LUSK (MD) still practicing?
CALEB MATTHEW LUSK (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes CALEB MATTHEW LUSK (MD)?
For research purposes, treat CALEB MATTHEW LUSK (MD) as Addiction Medicine (Family Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for CALEB MATTHEW LUSK (MD)?
CALEB MATTHEW LUSK (MD)'s geographic hint is New Haven, Connecticut in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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