JOHN R. LUNDGREN (P.A.) – Physician Assistant, NPI 1124118377

JOHN R. LUNDGREN (P.A.) is a healthcare provider. based in Richmond, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. C5-0001388 (DE). The NPI Number for JOHN R. LUNDGREN (P.A.) is 1124118377

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
JOHN R. LUNDGREN (P.A.)
NPI
1124118377
Phone
(804) 320-2751
Address
7101 JAHNKE RD
Enumeration Date
16 October 2006
Last Update Date
19 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1986 (40 years ago)
PAC ID
7113019258
Group Practice PAC ID
9931268091
Professional Enrollment ID
I20091217000589
Address ID
VA226012808WI1880XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

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Provider Addresses for JOHN R. LUNDGREN (P.A.)

  • 7101, Jahnke Road, Westover Gardens, Richmond, Richmond City, Virginia, 23225, United States

    SUITE 500

    RICHMOND, VA 232254017

    Phone: (804) 320-2751

    Fax: (804) 330-3831

    Type: Mailing

  • 75 W LEE HWY

    WARRENTON, VA 201862149

    Phone: (610) 388-6600

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $256.

Total Amount is formed as General ($256) + Research ($0) + Ownership ($0) = $256.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Medtronic, Inc. ($149).

Total Amount

$256

General + Research + Ownership

Payments

6

Total payment records

General Amount

$256

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2009-12-17

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
I20070822000346IPhysician AssistantPATBD
I20091217000589IPhysician AssistantVATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6463$0
99212Established patient office or other outpatient visit, 10-19 minutes2020$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional1616$0
99214Established patient office or other outpatient visit, 30-39 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 23225)

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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: 9931268091View full group profile

Reviews

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Frequently asked questions

Is JOHN R. LUNDGREN (P.A.) listed with a National Provider Identifier?
Yes — JOHN R. LUNDGREN (P.A.) has NPI 1124118377 on file in the registry.
Active or inactive — what applies to JOHN R. LUNDGREN (P.A.)?
You should see JOHN R. LUNDGREN (P.A.) as active in CMS-hosted NPPES data.
What clinical focus is listed for JOHN R. LUNDGREN (P.A.)?
At a glance, JOHN R. LUNDGREN (P.A.) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Virginia is JOHN R. LUNDGREN (P.A.) registered?
Use Richmond, Virginia as the headline location for JOHN R. LUNDGREN (P.A.) here.
Can I trust this NPI listing for JOHN R. LUNDGREN (P.A.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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