DR. SHAWN CONRAD LUTZ D.C.
NPI 1093012999
Chiropractor - Sports Physician in Bend, OR
About Dr. Shawn Conrad Lutz D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHAWN CONRAD LUTZ D.C. (NPI 1093012999) is an individual sports physician in Bend, Oregon, licensed in Oregon (4064) and active in the NPI registry since February 2011. He maintains a secondary practice location in Seattle and is a graduate of Western States College Of Chiropractic (2010).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Shawn Conrad Lutz D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Shawn Lutz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bend, OR 97702
- Reassigned Medicare billing, Oregon enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shawn Lutz's NPI number?
The NPI number for Shawn Lutz is 1093012999. It was assigned to this individual provider in the NPPES registry on February 11, 2011.
Where is Shawn Lutz located?
Shawn Lutz practices at 2955 N Hwy 97 Ste 100, Bend, OR 97703. The listed phone number is (458) 206-6123.
What is Shawn Lutz's specialty?
The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.
Is Shawn Lutz enrolled in Medicare?
Yes. Shawn Lutz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Shawn Lutz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Lutz reassigns Medicare benefits to Shawn Lutz Dc LLC (Bend, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shawn Lutz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shawn Lutz accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Shawn Lutz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shawn Lutz was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Shawn Conrad Lutz, D.C. · NPI 1093012999
Sports Physician provider in Bend, Oregon. Individual provider, active in the CMS NPPES registry since February 11, 2011.
## Identity
- **NPI:** 1093012999 (Entity type: Individual)
- **Enumerated:** February 11, 2011
- **Primary specialty:** Chiropractor - Sports Physician · taxonomy 111NS0005X
- **State license:** 4064 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 2955 N HWY 97 STE 100, Bend, OR 97703-7559
- **Phone:** (458) 206-6123 · **Fax:** (541) 600-4731
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Shawn Lutz Dc LLC (NPI 1962902403, Bend, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Western States College Of Chiropractic, class of 2010
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1093012999) · Data from the CMS NPPES public registry.