ROBERT G LUTAN (MD) – Cardiovascular Disease Physician, NPI 1528051422

ROBERT G LUTAN (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in NUCLEAR MEDICINE, CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 036085097 (IL). The NPI Number for ROBERT G LUTAN (MD) is 1528051422

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT G LUTAN (MD)
NPI
1528051422
Phone
(314) 839-5522
Address
11125 DUNN RD
Enumeration Date
25 August 2005
Last Update Date
28 March 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
3148395522
Graduation Year
1981 (45 years ago)
PAC ID
3274531934
Group Practice PAC ID
4284796913
Professional Enrollment ID
I20061114000146
Address ID
MO631366188SA11125RDXX301

Contacts

Secure Messaging
rlutan22826@direct-ehr-ssmhc.com
FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

59 NUCLEAR MEDICINE in MO

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Provider Addresses for ROBERT G LUTAN (MD)

  • 11125, Dunn Road, Saint Louis County, Missouri, 63136, United States

    SUITE 204

    SAINT LOUIS, MO 631366132

    Phone: (314) 839-5522

    Fax: (314) 839-5351

    Type: Location

  • 12255 De Paul Dr Ste 600

    Bridgeton, MO 630442515

    Phone: (314) 770-9888

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 226 Open Payments records for all available years, with a total value of $4,654.

Total Amount is formed as General ($4,654) + Research ($0) + Ownership ($0) = $4,654.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($642).

Total Amount

$4,654

General + Research + Ownership

Payments

226

Total payment records

General Amount

$4,654

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2010-10-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061114000146ICardiovascular Disease (Cardiology)MOTBD
I20101020000532ICardiovascular Disease (Cardiology)ILTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only425379$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function352349$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes341215$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes312280$0
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days28588$0
View full utilization report →

Insurance plans in this area (ZIP 63136)

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Provider's Procedures

ROBERT G LUTAN (MD) performs procedures in NUCLEAR MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)MO93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report5950

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: 4284796913View full group profile
NameSpecialtyState
Internal Medicine, Cardiovascular Disease (Cardiology)MO
Pediatric Medicine, Cardiovascular Disease (Cardiology)MO
Cardiovascular Disease (Cardiology), Internal MedicineMO
Cardiovascular Disease (Cardiology), Internal MedicineMO
-MO
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyTX
-IL
Cardiovascular Disease (Cardiology), Internal MedicineMO

Reviews

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Frequently asked questions

Does ROBERT G LUTAN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ROBERT G LUTAN (MD) uses 1528051422.
Is ROBERT G LUTAN (MD) still practicing?
ROBERT G LUTAN (MD) is currently listed as active in the public NPI registry.
What is ROBERT G LUTAN (MD)'s primary classification?
Cardiovascular Disease Physician is the headline specialty for ROBERT G LUTAN (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect ROBERT G LUTAN (MD) on a map?
Expect Saint Louis, Missouri as a primary anchor for ROBERT G LUTAN (MD) unless the record lists multiple sites.
Why does ROBERT G LUTAN (MD) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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