CALEB MATTHEW LUSK MD
NPI 1386149912
Family Medicine - Addiction Medicine in San Pedro, CA

Active since March 26, 2018PECOS EnrolledAccepts Medicare Assignment
593 W 6TH ST, SAN PEDRO, CA 90731(310) 547-0202 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2023, Jan 24, 2022, Jul 26, 2021 and 2 more (5 updates tracked since 2018).

About Caleb Matthew Lusk Md NPPES

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

CALEB MATTHEW LUSK MD (NPI 1386149912) is an individual addiction medicine provider in San Pedro, California, licensed in California (A165385) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Southern Illinois University School Of Medicine (2018).

NPPES Registry Identity

NPI1386149912
Entity TypeIndividualMale
Primary Taxonomy207QA0401X
Provider Legal NameCALEB MATTHEW LUSKCredential: MD
Location Address593 W 6TH STSan Pedro, CA 90731-2521
Mailing Address593 W 6th StSan Pedro, CA 90731-2521 · (310) 547-0202
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2018
Enumeration DateMarch 26, 2018
Last NPPES UpdateMarch 28, 20235 updates tracked since enumeration
NPPES CertifiedMarch 28, 2023
NPI 1386149912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License Licensed in CA · A165385
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 69006 (CT)
593 W 6TH ST, San Pedro, CA 90731

Other Identifiers 6

Medicaid008056033CT
Medicaid008056168CT
Medicaid004217099CT
Medicaid008068298CT
Medicaid008039745CT
Medicaid008103790CT

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

Caleb Matthew Lusk 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 ID8325441058
PECOS Enrollment IDI20220914003787
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 90731 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 19

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

Preventive Medicine (Public Health & General Preventive Medicine)
593 W 6TH ST
SAN PEDRO, CA 90731
Social Worker (Clinical)
593 W 6TH ST
SAN PEDRO, CA 90731
Physician Assistant
593 W 6TH ST
SAN PEDRO, CA 90731
Internal Medicine
593 W 6TH ST
SAN PEDRO, CA 90731
Social Worker (Clinical)
593 W 6TH ST
SAN PEDRO, CA 90731
Nurse Practitioner (Family)
593 W 6TH ST
SAN PEDRO, CA 90731
Family Medicine
593 W 6TH ST
SAN PEDRO, CA 90731
Nurse Practitioner (Adult Health)
593 W 6TH ST
SAN PEDRO, CA 90731

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 Caleb Lusk's NPI number?

The NPI number for Caleb Lusk is 1386149912. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Caleb Lusk located?

Caleb Lusk practices at 593 W 6th St, San Pedro, CA 90731. The listed phone number is (310) 547-0202.

What is Caleb Lusk's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Caleb Lusk enrolled in Medicare?

Yes. Caleb Lusk 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 Caleb Lusk was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.