LARRY JOHN JR. LUTZ (CRNA) – Certified Registered Nurse Anesthetist, NPI 1023048121
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for LARRY JOHN JR. LUTZ (CRNA)
7176 CROWN POINTE CIR
PORTAGE, MI 490244038
Phone: (269) 321-8736
Type: Mailing
Eaton Rapids Medical Center, 1500, South Main Street, Eaton Rapids, Eaton County, Michigan, 48827, United States
EATON RAPIDS, MI 488271952
Phone: (517) 663-2671
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $102.
Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.
Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Braintree Laboratories, Inc. ($43).
Total Amount
$102
General + Research + Ownership
Payments
4
Total payment records
General Amount
$102
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braintree Laboratories, Inc. | $43 |
| Mindray DS USA, Inc. | $40 |
| Boston Scientific Corporation | $19 |
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: 2011-02-11
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 |
|---|---|---|---|---|
| I20110211000958 | I | Certified Registered Nurse Anesthetist (Crna) | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49024)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | MI | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | MI | |
| Nurse Practitioner | MI | |
| Orthopedic Surgery | MI | |
| Nurse Practitioner | MI | |
| Physical Therapist In Private Practice | IL | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Internal Medicine | MI |
Reviews
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