DR. MONICA ANN LUTGENDORF (MD) – Maternal & Fetal Medicine Physician, NPI 1740251917
Maternal & Fetal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,165 OBSTETRICS/GYNECOLOGY in VA
Provider Addresses for DR. MONICA ANN LUTGENDORF (MD)
4320 Seminary Rd
Alexandria, VA 223041535
Phone: (703) 504-3000
Fax: (703) 504-3388
Type: Location
3300 Gallows Rd
Falls Church, VA 220423307
Phone: (703) 776-4001
Fax: (703) 776-7113
Type: Location
8901 WISCONSIN AVE
BETHESDA, MD 208895600
Phone: (301) 319-5050
Type: Mailing
PO BOX 37174
BALTIMORE, MD 212973174
Phone: (714) 235-6995
Fax: (571) 423-5698
Type: Mailing
4320 SEMINARY RD
ALEXANDRIA, VA 223041535
Phone: (703) 504-3000
Fax: (703) 504-3388
Type: Location
Madigan Army Medical Center, 9040, Jackson Avenue, Tacoma, Pierce County, Washington, 98431, United States
TACOMA, WA 984310001
Phone: (253) 968-1025
Fax: (253) 968-1254
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: 2025-10-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20180530001254 | I | Obstetrics/Gynecology | MN | TBD |
| I20220514000297 | I | Obstetrics/Gynecology | DC | TBD |
| I20251027002145 | I | Obstetrics/Gynecology | VA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22304)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | HI | |
| H E M A T O L O G Y | WA | |
| - | VIR | |
| - | IL | |
| Orthopedic Surgery | VA | |
| - | VA | |
| Diagnostic Radiology | VA | |
| General Surgery | CT | |
| - | VA | |
| N E U R O S U R G E R Y | VA |
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