MEGAN LUEDTKE (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1942802517

MEGAN LUEDTKE (PHYSICIAN ASSISTANT) is a healthcare provider. based in Fayetteville, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. 12803 (GA). The NPI Number for MEGAN LUEDTKE (PHYSICIAN ASSISTANT) is 1942802517

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MEGAN LUEDTKE (PHYSICIAN ASSISTANT)
NPI
1942802517
Phone
(708) 846-5459
Address
300 FAVOR RD APT 2310
Enumeration Date
9 November 2020
Last Update Date
15 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4047787525
Graduation Year
2019 (7 years ago)
PAC ID
9436558004
Group Practice PAC ID
8820901408
Professional Enrollment ID
I20251103000979
Address ID
GA303221013AT1365XNEXX400

Contacts

FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Secure Messaging
mfavia271820@direct.myadvocateaurora.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness95
Years active:5State licenses:1Other names

4,431 PHYSICIAN ASSISTANT in GA

Provider Addresses for MEGAN LUEDTKE (PHYSICIAN ASSISTANT)

  • 300 FAVOR RD APT 2310

    FAYETTEVILLE, GA 302147682

    Phone: (708) 846-5459

    Type: Mailing

  • 1364 CLIFTON RD NE

    ATLANTA, GA 303221059

    Phone: (404) 778-1900

    Type: Location

  • 12059 ARLENE DR

    HOMER GLEN, IL 604916813

    Phone: (708) 846-5459

    Type: Mailing

  • 4400 W 95TH ST STE 408

    OAK LAWN, IL 604532662

    Phone: (708) 346-4055

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $174.

Total Amount is formed as General ($174) + Research ($0) + Ownership ($0) = $174.

Last reported payment date: 2023-05-18 • Largest payer in this snapshot: Tactile Systems Technology Inc ($174).

Total Amount

$174

General + Research + Ownership

Payments

1

Total payment records

General Amount

$174

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-18

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: 2025-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210602000699IPhysician AssistantILTBD
I20251103000979IPhysician AssistantGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample1211$0
View full utilization report →

Insurance plans in this area (ZIP 30214)

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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: 8820901408View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA
Internal MedicineGA
Physician AssistantFL
Interventional Radiology, Diagnostic RadiologyKY
Anesthesiology AssistantGA
-CA
D E R M A T O L O G YGA
Interventional Radiology, Diagnostic RadiologyNC
Physician AssistantGA
-GA

Reviews

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Frequently asked questions

How do I look up MEGAN LUEDTKE (PHYSICIAN ASSISTANT) by NPI?
Use NPI 1942802517 when you need to reference MEGAN LUEDTKE (PHYSICIAN ASSISTANT) in forms, claims, or directories.
Is MEGAN LUEDTKE (PHYSICIAN ASSISTANT) active in the national directory?
MEGAN LUEDTKE (PHYSICIAN ASSISTANT)'s public NPI profile is in an active state.
What does MEGAN LUEDTKE (PHYSICIAN ASSISTANT) treat or focus on?
Patients typically see MEGAN LUEDTKE (PHYSICIAN ASSISTANT) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MEGAN LUEDTKE (PHYSICIAN ASSISTANT)'s primary listing?
We display Fayetteville, Georgia because that is what the record indicates for MEGAN LUEDTKE (PHYSICIAN ASSISTANT).
What if Fayetteville, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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