DR. JUSTYN LUTFY MD CM, FRCS(C)
NPI 1629452073
Surgery - Surgery of the Hand in Springfield, IL

Q: What is Justyn Lutfy's NPI number?

The NPI number for Justyn Lutfy is 1629452073. It was assigned to this individual provider in the NPPES registry on July 15, 2015.

Q: What is Justyn Lutfy's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.

Q: When was this NPI record last updated?

The NPPES record for Justyn Lutfy was last updated on July 15, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 15, 2015PECOS Enrolled

747 N RUTLEDGE ST, SPRINGFIELD, IL 62702(217) 545-6112(217) 545-2588 Get Directions Write a Review

NPPES record last updated: July 15, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Justyn Lutfy Md Cm, Frcs(c) NPPES

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

DR. JUSTYN LUTFY MD CM, FRCS(C) (NPI 1629452073) is an individual surgery of the hand provider in Springfield, Illinois, licensed in Illinois (125.066416) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629452073

Entity TypeIndividualMale

Primary Taxonomy2086S0105X

Provider Legal NameDR. JUSTYN LUTFYCredential: MD CM, FRCS(C)

Location Address747 N RUTLEDGE STSpringfield, IL 62702-6700

Mailing AddressPo Box 19653Springfield, IL 62794-9653 · (217) 545-6112 · Fax (217) 545-2588

Phone(217) 545-6112

Fax(217) 545-2588

Sole ProprietorNo

Enumeration DateJuly 15, 2015

✔ NPI 1629452073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgery of the HandAllopathic & Osteopathic Physicians

Taxonomy Code2086S0105X

License✔ Licensed in IL · 125.066416

Definition

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

747 N RUTLEDGE ST, Springfield, IL 62702

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Justyn Lutfy Md Cm, Frcs(c) is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 62702 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.