MICHAEL SEAN LUEDEMAN MD
NPI 1255592390
Family Medicine in Elizabethton, TN

Active since June 20, 2008PECOS EnrolledAccepts Medicare Assignment
1505 W ELK AVE STE 2, ELIZABETHTON, TN 37643(423) 543-1261 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael Sean Luedeman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL SEAN LUEDEMAN MD (NPI 1255592390) is an individual family medicine provider in Elizabethton, Tennessee, licensed in Tennessee (66943) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Nevada School Of Medicine (2008).

NPPES Registry Identity

NPI1255592390
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL SEAN LUEDEMANCredential: MD
Location Address1505 W ELK AVE STE 2Elizabethton, TN 37643-2848
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2008
Enumeration DateJune 20, 2008
Last NPPES UpdateJune 10, 2024
NPPES CertifiedJune 10, 2024
NPI 1255592390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TN · 66943 Licensed in NV · 14495
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1505 W ELK AVE STE 2, Elizabethton, TN 37643

Secondary Practice Locations 2

Location 1700 N SPRING ST.CALIENTE, NV 89008-1010 · Phone (775) 726-3171 ext. 105 · Fax (775) 726-3797
Location 21497 W Elk AveElizabethton, TN 37643-2895 · Phone (423) 542-7420

Other Identifiers 1

Medicaid1255592390NV

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

Michael Sean Luedeman Md 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 ID9133372907
PECOS Enrollment IDI20221116000230
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37643 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
60%337 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers19 claims19 services$198.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1505 W ELK AVE STE 2
ELIZABETHTON, TN 37643
Family Medicine
1505 W ELK AVE STE 2
ELIZABETHTON, TN 37643
Family Medicine
1505 W ELK AVE STE 2
ELIZABETHTON, TN 37643

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 Michael Luedeman's NPI number?

The NPI number for Michael Luedeman is 1255592390. It was assigned to this individual provider in the NPPES registry on June 20, 2008.

Where is Michael Luedeman located?

Michael Luedeman practices at 1505 W Elk Ave Ste 2, Elizabethton, TN 37643. The listed phone number is (423) 543-1261.

What is Michael Luedeman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Luedeman enrolled in Medicare?

Yes. Michael Luedeman 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.

When was this NPI record last updated?

The NPPES record for Michael Luedeman was last updated on June 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.