MICHAEL E LUGGEN (MD) – Rheumatology Physician, NPI 1386635431
Rheumatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
297 RHEUMATOLOGY in OH
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Provider Addresses for MICHAEL E LUGGEN (MD)
Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States
CENTRAL CREDENTIALING
CINCINNATI, OH 452636256
Phone: (513) 585-5504
Fax: (513) 585-5511
Type: Mailing
Straight Street, Camp Washington, Cincinnati, Hamilton County, Ohio, 45214, United States
CINCINNATI, OH 452191018
Phone: (513) 559-2898
Fax: (513) 475-5415
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: 2004-05-24
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 |
|---|---|---|---|---|
| I20040524000329 | I | Rheumatology | OH | 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 |
|---|---|---|---|---|
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 4,575 | 18 | $0 |
| J1602 | Injection, golimumab, 1 mg, for intravenous use | 4,216 | 13 | $0 |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 1,890 | 19 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 241 | 114 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 152 | 93 | $0 |
Insurance plans in this area (ZIP 45263)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Radiation Oncology | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| N E U R O L O G Y | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| Family Practice | OH |
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