DR. SHAWN CONRAD LUTZ D.C.
NPI 1093012999
Chiropractor - Sports Physician in Bend, OR

Active since February 11, 2011Accepts Medicare Assignment
2955 N HWY 97 STE 100, BEND, OR 97703(458) 206-6123(541) 600-4731 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Feb 20, 2018 (2 updates tracked since 2018).

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

NPI1093012999
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameDR. SHAWN CONRAD LUTZCredential: D.C.
Location Address2955 N HWY 97 STE 100Bend, OR 97703-7559
Mailing Address2955 N Hwy 97 Ste 100Bend, OR 97703-7559 · (458) 206-6123 · Fax (541) 600-4731
Fax(541) 600-4731
Sole ProprietorNo
Medical School CMSWestern States College Of ChiropracticGraduated 2010
Enumeration DateFebruary 11, 2011
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1093012999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License Licensed in OR · 4064
Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

Also ListedChiropractorTaxonomy 111N00000X · License CHIR.CH.60226450 (WA), 4064 (OR)
2955 N HWY 97 STE 100, Bend, OR 97703

Secondary Practice Location 1

Location 1701 N 36th St, Suite 430Seattle, WA 98103-8868 · Phone (206) 547-0707 · Fax (206) 420-5386

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID648440669
PECOS Enrollment IDI20200303002128

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
171 services15 patients

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.

What insurance does Shawn Lutz accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan 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 with the weekly NPPES data releases published by CMS.