LUKE VAN DYKE MUSSER – Physical Medicine & Rehabilitation Physician, NPI 1104387240

LUKE VAN DYKE MUSSER is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold a License No. MD482468 (PA). The NPI Number for LUKE VAN DYKE MUSSER is 1104387240

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
LUKE VAN DYKE MUSSER
NPI
1104387240
Phone
Not provided
Address
1513 RACE ST
Enumeration Date
29 March 2019
Last Update Date
16 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2155873406
Graduation Year
2019 (7 years ago)
PAC ID
4789911637
Group Practice PAC ID
6406755651
Professional Enrollment ID
I20250407000041
Address ID
PA191021125PH1513XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

878 PHYSICAL MEDICINE AND REHABILITATION in PA

Provider Addresses for LUKE VAN DYKE MUSSER

  • 1513 RACE ST

    PHILADELPHIA, PA 191021177

    Phone:

    Type: Mailing

  • Lankenau Medical Center, 100, East Lancaster Avenue, Wynnewood, Lower Merion Township, Montgomery County, Pennsylvania, 19096, United States

    ANNENBERG G-10

    WYNNEWOOD, PA 19096

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $208.

Total Amount is formed as General ($208) + Research ($0) + Ownership ($0) = $208.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: ABBVIE INC. ($148).

Total Amount

$208

General + Research + Ownership

Payments

5

Total payment records

General Amount

$208

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-04-07

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
I20250407000041IPhysical Medicine And RehabilitationPATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19102)

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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: 6406755651View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)PA
-PA
Physician AssistantPA
Certified Registered Nurse Anesthetist (Crna)PA
Thoracic Surgery, Vascular SurgeryPA
Cardiovascular Disease (Cardiology)PA
Interventional Cardiology, Cardiovascular Disease (Cardiology)CA
Gastroenterology, Internal MedicinePA
-PA
G A S T R O E N T E R O L O G YNJ

Reviews

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Frequently asked questions

Where can patients find LUKE VAN DYKE MUSSER's NPI?
You can confirm LUKE VAN DYKE MUSSER with NPI 1104387240; it appears in the national provider directory.
Is LUKE VAN DYKE MUSSER currently active in the NPI registry?
CMS-published data lists LUKE VAN DYKE MUSSER as an active registrant.
Can you summarize LUKE VAN DYKE MUSSER's specialty in plain language?
Clinically, the directory lists LUKE VAN DYKE MUSSER with Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Where does public data place LUKE VAN DYKE MUSSER?
The snapshot lists Philadelphia, Pennsylvania for LUKE VAN DYKE MUSSER; download NPPES for the complete set.
Is LUKE VAN DYKE MUSSER a real provider?
This page reflects official NPPES data for NPI 1104387240. Always confirm identity and privileges with the practice and licensing boards.

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