SAMUEL LUTNER (PA) – Physician Assistant, NPI 1760685655
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,091 PHYSICIAN ASSISTANT in MA
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Provider Addresses for SAMUEL LUTNER (PA)
12, Gill Street, Mishawum, Woburn, Middlesex County, Massachusetts, 01801, United States
STE 3000
WOBURN, MA 018011728
Phone: (781) 937-4522
Fax: (781) 937-4510
Type: Mailing
Anna Jaques Hospital, 25, Highland Avenue, Newburyport, Essex County, Massachusetts, 01950, United States
NEWBURYPORT, MA 019503867
Phone: (978) 463-1050
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: 2005-02-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041214000267 | I | Physician Assistant | MA | TBD |
| I20050216000413 | I | Physician Assistant | NH | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 209 | 203 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 129 | 124 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 91 | 90 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 20 | 18 | $0 |
Insurance plans in this area (ZIP 01801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VT | |
| - | ME | |
| Nurse Practitioner | MA | |
| Family Practice | NH | |
| - | NH | |
| - | NH | |
| Nurse Practitioner | NH | |
| Physician Assistant | VT | |
| Physician Assistant | NH | |
| Physician Assistant | NH |
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