Individual provider Active NPI

Caitlin Martin Lutz, PA

  • Physician Assistant
  • Westminster, MD
National Provider Identifier
1457724585
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 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
Last updated
Feb 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

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 1

  • Caitlin Martin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220929003155 MD Practitioner - Physician Assistant 2769775253 Reassigns benefits to 1 organization
I20221025000146 DC Practitioner - Physician Assistant 2769775253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 PAGroup PAC ID 6608761960, 126 clinicians

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 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Arundel Dermatology, P.a. CurrentSince Aug 11, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Anne Arundel Dermatology, PA PastSince Sep 1, 2024 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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1457724585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MEADOW CREEK DR STE 205",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211589455",
            "telephone_number": "301-829-4185",
            "fax_number": "301-829-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MEADOW CREEK DR STE 205",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211589455",
            "telephone_number": "301-829-4185",
            "fax_number": "301-829-4187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5977 Exchange Dr Ste C&d",
            "address_purpose": "LOCATION",
            "city": "Eldersburg",
            "state": "MD",
            "postal_code": "217849265",
            "country_code": "US",
            "telephone_number": "301-829-4185",
            "fax_number": "301-829-4187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "CAITLIN",
        "middle_name": "MARTIN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-11",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "MARTIN",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.