JODI R LUTZ (NP) – Nurse Practitioner, NPI 1063996130
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for JODI R LUTZ (NP)
2133 Vadalabene Dr
Maryville, IL 620625839
Phone: (618) 288-2470
Type: Location
PO BOX 955534
SAINT LOUIS, MO 631955534
Phone:
Type: Mailing
Walgreens, 1650, Washington Avenue, Milton, Alton, Madison County, Illinois, 62002, United States
ALTON, IL 620023931
Phone: (314) 687-2735
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 83 Open Payments records for all available years, with a total value of $1,621.
Total Amount is formed as General ($1,621) + Research ($0) + Ownership ($0) = $1,621.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Amgen Inc. ($166).
Total Amount
$1,621
General + Research + Ownership
Payments
83
Total payment records
General Amount
$1,621
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $166 |
| Lilly USA, LLC | $163 |
| ABBVIE INC. | $144 |
| Bayer Healthcare Pharmaceuticals Inc. | $134 |
| Spinal Simplicity, LLC | $115 |
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: 2019-07-18
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 |
|---|---|---|---|---|
| I20190718000048 | I | Nurse Practitioner | IL | 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 |
|---|---|---|---|---|
| J7320 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg | 3,150 | 20 | $0 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 548 | 53 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 333 | 173 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 310 | 56 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 180 | 107 | $0 |
Insurance plans in this area (ZIP 62062)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IL | |
| Nurse Practitioner | IN | |
| Pain Management, Physical Medicine And Rehabilitation, Physical Medicine And Rehabilitation, Pain Management | MO | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | AZ | |
| Physical Therapist In Private Practice | IL | |
| Family Practice | IL |
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