JOHANNAH LUTZ PA-C
NPI 1285966002
Physician Assistant - Medical in Portland, OR

Active since February 03, 2010PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
202 NW 13TH AVE, PORTLAND, OR 97209(503) 684-8252 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Johannah Lutz Pa-c NPPES

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

JOHANNAH LUTZ PA-C (NPI 1285966002) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA159810) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1285966002
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJOHANNAH LUTZCredential: PA-C
Location Address202 NW 13TH AVEPortland, OR 97209-2953
Mailing Address19075 Nw Tanasbourne Dr, Ste 200Hillsboro, OR 97124-5860 · (503) 684-8252
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 3, 2010
Last NPPES UpdateOctober 19, 2020
NPPES CertifiedOctober 19, 2020
NPI 1285966002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OR · PA159810
202 NW 13TH AVE, Portland, OR 97209

Other Identifiers 1

OtherPA159810OR · Oregon Medical Board

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

Johannah Lutz Pa-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 ID8426231481
PECOS Enrollment IDI20170907000854
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients

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.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

Other Providers at the Same Location NPPES 11

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

Non-Pharmacy Dispensing Site
202 NW 13TH AVE
PORTLAND, OR 97209
Nurse Practitioner (Family)
202 NW 13TH AVE
PORTLAND, OR 97209
Physician Assistant (Medical)
202 NW 13TH AVE
PORTLAND, OR 97209
Physician Assistant (Surgical)
202 NW 13TH AVE
PORTLAND, OR 97209
Physician Assistant (Medical)
202 NW 13TH AVE
PORTLAND, OR 97209
Behavior Analyst
202 NW 13TH AVE
PORTLAND, OR 97209
Internal Medicine
202 NW 13TH AVE
PORTLAND, OR 97209
Nurse Practitioner (Psychiatric/Mental Health)
202 NW 13TH AVE
PORTLAND, OR 97209

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 Johannah Lutz's NPI number?

The NPI number for Johannah Lutz is 1285966002. It was assigned to this individual provider in the NPPES registry on February 3, 2010.

Where is Johannah Lutz located?

Johannah Lutz practices at 202 NW 13th Ave, Portland, OR 97209. The listed phone number is (503) 684-8252.

What is Johannah Lutz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Johannah Lutz enrolled in Medicare?

Yes. Johannah 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 Johannah Lutz accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Johannah 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 Johannah Lutz was last updated on October 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.