DR. SAMUEL DAVID LUSTGARTEN PHD
NPI 1477197929
Psychologist - Counseling in Madison, WI
About Dr. Samuel David Lustgarten Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL DAVID LUSTGARTEN PHD (NPI 1477197929) is an individual counseling provider in Madison, Wisconsin, licensed in Wisconsin (3717-57) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.
NPPES Registry Identity
Specialties & Licenses
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 (PECOS)
Dr. Samuel David Lustgarten Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samuel Lustgarten reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Madison, WI 53705
- Reassigned Medicare billing, Wisconsin enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MADISON, WI 53705
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 Samuel Lustgarten's NPI number?
The NPI number for Samuel Lustgarten is 1477197929. It was assigned to this individual provider in the NPPES registry on October 28, 2019.
Where is Samuel Lustgarten located?
Samuel Lustgarten practices at 702 N Blackhawk Ave Ste 205, Madison, WI 53705. The listed phone number is (720) 260-4362.
What is Samuel Lustgarten's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.
Is Samuel Lustgarten enrolled in Medicare?
Yes. Samuel Lustgarten is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samuel Lustgarten's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Lustgarten reassigns Medicare benefits to Samuel Lustgarten Phd LLC (Madison, WI). 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 Samuel Lustgarten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Lustgarten accept?
Health plans from Dean Health Plan and Quartz list Samuel Lustgarten 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 Samuel Lustgarten was last updated on December 29, 2022. 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.