FRED LUSTER (MPT) – Physical Therapist, NPI 1316480254
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,866 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN
Provider Addresses for FRED LUSTER (MPT)
710, North Niles Avenue, South Bend, Saint Joseph County, Indiana, 46617, United States
SOUTH BEND, IN 466171924
Phone: (574) 647-1610
Type: Mailing
900 I St Ste 100
LA Porte, IN 463505533
Phone: (219) 324-1730
Fax: (219) 324-1735
Type: Location
440 Hickory Ln
Nappanee, IN 465501114
Phone: (574) 221-1376
Type: Location
1815 E Ireland Rd Ste 100
South Bend, IN 466142845
Phone: (574) 647-5790
Fax: (574) 647-5792
Type: Location
200 E Jackson Blvd Ste 150
Elkhart, IN 465163513
Phone: (574) 389-5558
Fax: (574) 389-5559
Type: Location
Beacon Parkway, Granger, Saint Joseph County, Indiana, 46530, United States
GRANGER, IN 46530
Phone: (574) 647-2930
Fax: (574) 647-2935
Type: Location
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: 2019-05-03
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 |
|---|---|---|---|---|
| I20190503001619 | I | Physical Therapist In Private Practice | IN | 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 |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,166 | 122 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 507 | 78 | $0 |
| 97113 | Therapy procedure using water pool to exercises, each 15 minutes | 435 | 49 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 163 | 33 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 69 | 65 | $0 |
Insurance plans in this area (ZIP 46617)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | IN | |
| - | IN | |
| - | IN |
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