Kevin R Lusk, M.D.
Individual provider Active NPI Family Medicine Physician · Ferdinand, IN
NPI 1033201033 · NPPES record last updated Jul 7, 2014
Key facts
- NPI
- 1033201033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01048988A (IN)
- Practice address
- 115 S Main St
Ferdinand, IN 47532-9534 - Phone
- (812) 367-1906
- Fax
- (812) 367-2487
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 10
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Deaconess Clinic Inc
Deaconess Memorial Medical Center Inc
Practice addresses (Care Compare)
115 S Main St
Ferdinand, IN 47532-9534
Phone (812) 367-1906
Hospital & facility affiliations
- Deaconess Home Health, LLC
- Preferred Home Health Care, Inc
- Angels Care Home Health
- Gentiva I
- Heart to Heart Hospice of Southwest Indiana LLC
- Memorial Hospital and Health Care Center
- Deaconess Hospital Inc
- The Women'S Hospital
- Scenic Hills at the Monastery
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 33 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Scenic Hills at the Monastery |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
May 1, 2015 Jun 17, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070823000639 | IN | Practitioner - Family Practice | 0941392872 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01048988A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic Inc | Family Medicine | Current |
Accepting new patients |
| Deaconess Memorial Medical Center Inc | Family Medicine | Current |
Accepting new patients |
| Deaconess Memorial Medical Center Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Clinic Inc. | Family Medicine | Current |
Accepting new patients |
| Deaconess Clinic, Inc | Family Medicine | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| Deaconess Memorial Medical Center Inc | Past | Accepting new patients |
Locations
421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645
115 S Main St
Ferdinand, IN 47532
Phone (812) 367-1906
800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345
Interoperability endpoints
- klusk73437@direct.deaconess.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01048988A | IN | Yes |
Addresses
Primary practice location
115 S Main St
Ferdinand, IN 47532-9534
Mailing address
PO Box 1028
Jasper, IN 47547-1028
Phone (812) 996-0410
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200441670B | Medicaid | IN |
Other providers in Ferdinand, IN
- Integrated Performance LLC
- Kelsey Marie Kelly
- Sara Kern
- Knight Therapy & Consulting
- Austin Leclere
- Alexandria Masterson
- Jenna Lynn McClary
- Erin Elisabeth Morrison
- Jill Morrison
- Nicole Nale
All providers in Ferdinand, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.