DR. EVERETT KIRK LUDER (MD) – Psychiatry Physician, NPI 1629046701

DR. EVERETT KIRK LUDER (MD) is a healthcare provider. based in Roanoke, Virginia. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 0101222348 (VA). The NPI Number for DR. EVERETT KIRK LUDER (MD) is 1629046701

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. EVERETT KIRK LUDER (MD)
NPI
1629046701
Phone
(540) 224-5352
Address
213 S JEFFERSON ST STE 1006
Enumeration Date
14 March 2006
Last Update Date
14 July 2023

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
5404633141
Graduation Year
1985 (41 years ago)
PAC ID
1557322765
Group Practice PAC ID
8729067665
Professional Enrollment ID
I20041021000308
Address ID
VA244503717LE241XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,034 PSYCHIATRY in VA

Provider Addresses for DR. EVERETT KIRK LUDER (MD)

  • 213 S JEFFERSON ST STE 1006

    ROANOKE, VA 240111713

    Phone: (540) 224-5352

    Type: Mailing

  • 2017 JEFFERSON ST SW

    ROANOKE, VA 240142419

    Phone: (540) 981-8025

    Fax: (540) 853-0511

    Type: Location

  • West Washington Street, Lexington, Lexington City, Virginia, 24450, United States

    LEXINGTON, VA 244502554

    Phone: (540) 458-8590

    Fax: (540) 458-8989

    Type: Mailing

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: 2004-10-21

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
I20041021000308IPsychiatryVATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7842$0
99215Established patient office or other outpatient visit, 40-54 minutes3728$0
90792Psychiatric diagnostic evaluation with medical services2625$0
View full utilization report →

Insurance plans in this area (ZIP 24011)

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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: 8729067665View full group profile
NameSpecialtyState
Mental Health CounselorVA
-VA
Nurse PractitionerVA
Mental Health CounselorVA
Mental Health CounselorVA
-WA
Mental Health CounselorVA

Reviews

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Frequently asked questions

Can I verify DR. EVERETT KIRK LUDER (MD) with an NPI only?
You can start verification with NPI 1629046701 for DR. EVERETT KIRK LUDER (MD), then check state licensing separately.
Does the file indicate DR. EVERETT KIRK LUDER (MD) is practicing under active NPI?
Directory data currently reports DR. EVERETT KIRK LUDER (MD) as active.
What healthcare role does DR. EVERETT KIRK LUDER (MD) hold?
Scheduling teams often label DR. EVERETT KIRK LUDER (MD) under Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. EVERETT KIRK LUDER (MD) on a map?
Expect Roanoke, Virginia as a primary anchor for DR. EVERETT KIRK LUDER (MD) unless the record lists multiple sites.
Is the information about DR. EVERETT KIRK LUDER (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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