Caitlin Martin Lutz, PA
Individual provider Active NPI Physician Assistant · Westminster, MD
NPI 1457724585 · NPPES record last updated Feb 16, 2024
Key facts
- NPI
- 1457724585
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 410 Meadow Creek Dr Ste 205
Westminster, MD 21158-9455 - Phone
- (301) 829-4185
- Fax
- (301) 829-4187
- NPI assigned
- Nov 11, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Barry University School of Podiatric Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anne Arundel Dermatology PA
Practice addresses (Care Compare)
180 Admiral Cochrane Dr
Annapolis, MD 21401-8405
Phone (410) 263-5439
410 Meadow Creek Dr
Suite 205
Westminster, MD 21158-9455
Phone (301) 829-4185
5977 Exchange Dr
Suite C D
Sykesville, MD 21784-9265
Phone (301) 829-4185
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.75 of 100
- Promoting interoperability
- 95
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220929003155 | MD | Practitioner - Physician Assistant | 2769775253 | Reassigns benefits to 1 organization |
| I20221025000146 | DC | Practitioner - Physician Assistant | 2769775253 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Arundel Dermatology, P.a. | Current |
Accepting new patients | |
| Anne Arundel Dermatology, PA | Past |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1306 Concourse Dr
Ste 201
Linthicum Heights, MD 21090
410 Meadow Creek Dr
Ste 205
Westminster, MD 21158
Phone (301) 829-4185
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
410 Meadow Creek Dr Ste 205
Westminster, MD 21158-9455
Mailing address
410 Meadow Creek Dr Ste 205
Westminster, MD 21158-9455
Phone (301) 829-4185
Other practice location 1
5977 Exchange Dr Ste C&d
Eldersburg, MD 21784-9265
Phone (301) 829-4185
Other names
- Caitlin Martin
Other providers in Westminster, MD
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- Rosemary Luebkert
- Joan M Lusby
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- Luxottica Retail North America Inc
- Christine Luzuriaga
- Michael Luzuriaga
- Lynette R Connelly, MSW, Lcswc LLC
- Parker Lyons
All providers in Westminster, MD · Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2024. 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.
- 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.