JESSICA SUSAN LUTZ (M.D.) – Obstetrics & Gynecology Physician, NPI 1730594326
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
382 OBSTETRICS/GYNECOLOGY in KS
Provider Addresses for JESSICA SUSAN LUTZ (M.D.)
9301 W 74TH ST STE 320
OVERLAND PARK, KS 662042207
Phone: (913) 491-4020
Fax: (913) 491-4725
Type: Mailing
5525 W 119th St Ste 200
Leawood, KS 66209
Phone: (913) 491-4020
Fax: (913) 491-4725
Type: Location
9119 W 74th St Ste 268
Shawnee Mission, KS 662042268
Phone: (913) 491-4020
Fax: (913) 491-4725
Type: Location
825 NE 10TH ST STE 3C
OKLAHOMA CITY, OK 731045417
Phone: (405) 271-5239
Fax: (405) 271-3727
Type: Mailing
21120 W 152ND ST STE 201
OLATHE, KS 66061
Phone: (913) 491-4020
Fax: (913) 491-4725
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: 2019-12-30
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 |
|---|---|---|---|---|
| I20191230001969 | I | Obstetrics/Gynecology | OK | 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 |
|---|---|---|---|---|
| 76830 | Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | 30 | 30 | $0 |
Insurance plans in this area (ZIP 66204)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| Family Practice | OK | |
| Certified Nurse Midwife (Cnm) | OK | |
| Family Practice | OK | |
| Family Practice | OK | |
| - | OK | |
| Internal Medicine | OK | |
| Nurse Practitioner | OK |
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