DRAKE MICAH LUGINBUHL (PT, DPT) – Physical Therapist, NPI 1124619788

DRAKE MICAH LUGINBUHL (PT, DPT) is a healthcare provider. based in South bend, Indiana. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 05014053A (IN). The NPI Number for DRAKE MICAH LUGINBUHL (PT, DPT) is 1124619788

Main info

Male
6 Years Of Experience
Name
DRAKE MICAH LUGINBUHL (PT, DPT)
NPI
1124619788
Phone
(574) 233-5754
Address
1005 N HICKORY RD
Enumeration Date
27 January 2021
Last Update Date
27 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5742335754
Graduation Year
2020 (6 years ago)
PAC ID
7315352176
Group Practice PAC ID
0446386650
Professional Enrollment ID
I20210209001958
Address ID
IN466153723SO1005XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,865 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

Provider Addresses for DRAKE MICAH LUGINBUHL (PT, DPT)

  • 1005 N HICKORY RD

    SOUTH BEND, IN 466152280

    Phone: (574) 233-5754

    Mailing address matches the actual address.

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: 2021-02-09

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
I20210209001958IPhysical Therapist In Private PracticeINTBD

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
97530Therapy procedure using functional activities5,186327$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,228158$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care1,209156$0
97140Therapy procedure using manual technique, each 15 minutes1,069146$0
97012Application of mechanical traction36458$0
View full utilization report →

Insurance plans in this area (ZIP 46615)

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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: 0446386650View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
-FL
-IN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN

Reviews

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Frequently asked questions

Does DRAKE MICAH LUGINBUHL (PT, DPT) have a public NPI I can cite?
Public records show DRAKE MICAH LUGINBUHL (PT, DPT) under NPI 1124619788.
Does the public listing show DRAKE MICAH LUGINBUHL (PT, DPT) as active?
DRAKE MICAH LUGINBUHL (PT, DPT)'s NPI record reflects an active status in NPPES.
How should patients interpret DRAKE MICAH LUGINBUHL (PT, DPT)'s specialty?
The extract shows Physical Therapist for DRAKE MICAH LUGINBUHL (PT, DPT). Clinical services aligned with this taxonomy classification.
Is DRAKE MICAH LUGINBUHL (PT, DPT) tied to South Bend, Indiana?
If you are local to South Bend, Indiana, DRAKE MICAH LUGINBUHL (PT, DPT) may be relevant to your search.
Can I export DRAKE MICAH LUGINBUHL (PT, DPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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