DR. LUCAS G DUEFFERT (P.T) – Orthopedic Physical Therapist, NPI 1073929543

DR. LUCAS G DUEFFERT (P.T) is a healthcare provider. based in St louis park, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T. The NPI Number for DR. LUCAS G DUEFFERT (P.T) is 1073929543

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. LUCAS G DUEFFERT (P.T)
NPI
1073929543
Phone
(507) 581-0076
Address
450 FORD RD
Enumeration Date
6 July 2014
Last Update Date
6 July 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529935900
Graduation Year
2014 (12 years ago)
PAC ID
4688894389
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20141001000470
Address ID
MN553694475MA15301NXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:11State licenses:0Digital endpointsOther names

2,109 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for DR. LUCAS G DUEFFERT (P.T)

  • 450 FORD RD

    #230

    ST LOUIS PARK, MN 554261058

    Phone: (507) 581-0076

    Type: Mailing

  • 250 CENTRAL AVE N

    SUITE LL 10

    WAYZATA, MN 553911206

    Phone: (952) 993-8238

    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: 2014-10-01

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
I20141001000470IPhysical Therapist In Private PracticeMNTBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes26736$0
97161Evaluation for physical therapy, typically 20 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 55426)

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Provider's Procedures

DR. LUCAS G DUEFFERT (P.T) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMN97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes15746

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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

How is DR. LUCAS G DUEFFERT (P.T) identified in CMS data?
CMS-hosted NPPES data lists DR. LUCAS G DUEFFERT (P.T) with NPI 1073929543.
Does CMS list DR. LUCAS G DUEFFERT (P.T) as active?
Yes — DR. LUCAS G DUEFFERT (P.T) is active in the NPI listing used on this page.
What is DR. LUCAS G DUEFFERT (P.T)'s specialty?
The listing groups DR. LUCAS G DUEFFERT (P.T) with Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is DR. LUCAS G DUEFFERT (P.T) based?
DR. LUCAS G DUEFFERT (P.T) is tied to St Louis Park, Minnesota in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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