NPIMap

Individual provider Active NPI

Colten Christopher Luedke, D.O

  • Orthopaedic Surgery Physician
  • College Station, TX
National Provider Identifier
1972828481
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
Q1446 Issued in TX
Practice address
3526 Longmire Dr Ste 200
College Station, TX 77845-6472
Phone
(979) 696-3344
Fax
(979) 696-5944
NPI assigned
Mar 29, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Q1446 TX Primary

Addresses

Primary practice location

3526 Longmire Dr Ste 200
College Station, TX 77845-6472

Mailing address

3526 Longmire Dr Ste 200
College Station, TX 77845-6472
Phone (979) 696-3344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160211002332 SC Practitioner - Orthopedic Surgery 8628385325
I20160714001079 TX Practitioner - Orthopedic Surgery 8628385325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of North Texas HSC, College of Osteopathic Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3201 University Dr E
Suite 320
Bryan, TX 77802-3478
Phone (979) 704-5029

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.62 of 100Reported as group
Quality
58.26
Promoting interoperability
97
Improvement activities
40
Cost
76.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement11
Knee replacement44
Lower limb (leg) arthroscopy (minimally invasive joint repair)11
Upper limb (arm) arthroscopy (minimally invasive joint repair)51
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
Q1446TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brazos Valley Physicians Alliance CurrentSince Nov 4, 2019 Accepting new patients
Brazos Valley Physicians Alliance Orthopaedic Surgery CurrentSince Nov 4, 2019 Accepting new patients

Locations

3121 University Dr E
Ste 100
Bryan, TX 77802
Phone (979) 776-0169

3201 University Dr E
Ste 3
Bryan, TX 77802
Phone (979) 704-5029

3201 University Dr E
Ste 320
Bryan, TX 77802
Phone (979) 704-5029

3201 University Dr E
Ste 455
Bryan, TX 77802
Phone (979) 704-5029

Interoperability endpoints

  • Direct secure messaging: cluedke@yourcarecommunity.org
  • Direct secure messaging: colten.luedke.1@25466.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972828481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 LONGMIRE DR STE 200",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456472",
            "telephone_number": "979-696-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3526 LONGMIRE DR STE 200",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456472",
            "telephone_number": "979-696-3344",
            "fax_number": "979-696-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEDKE",
        "first_name": "COLTEN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "Q1446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.