MICHAEL EDWARD LUTZ (MD) – Dermatology Physician, NPI 1982740775
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
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Provider Addresses for MICHAEL EDWARD LUTZ (MD)
4465, Baymeadows Road, Jacksonville, Duval County, Florida, 32217, United States
SUITE 5
JACKSONVILLE, FL 32217
Phone: (904) 737-0111
Fax: (904) 737-4422
Type: Mailing
18228 N US HIGHWAY 41
LUTZ, FL 335494400
Phone: (813) 321-1786
Fax: (813) 321-1787
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $585.
Total Amount is formed as General ($585) + Research ($0) + Ownership ($0) = $585.
Last reported payment date: 2024-02-13 • Largest payer in this snapshot: ABBVIE INC. ($223).
Total Amount
$585
General + Research + Ownership
Payments
5
Total payment records
General Amount
$585
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $223 |
| Incyte Corporation | $126 |
| Edwards Lifesciences Corporation | $123 |
| Lilly USA, LLC | $113 |
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: 2004-04-05
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 |
|---|---|---|---|---|
| I20040405001831 | I | Dermatology | FL | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 1,293 | 1,016 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 1,069 | 681 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 855 | 630 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 760 | 243 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 699 | 439 | $0 |
Insurance plans in this area (ZIP 32217)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Nurse Practitioner | FL | |
| D E R M A T O L O G Y | FL | |
| - | FL | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| Physician Assistant | FL |
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