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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRADLEY J LUTCHKA
NPI 1780654202
Dentist - Oral and Maxillofacial Surgery in Moline, IL

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
930 16TH AVE, MOLINE, IL 61265(309) 797-1770(309) 797-1791 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2026, Sep 24, 2020 (2 updates tracked since 2020).

About Bradley J Lutchka NPPES

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

BRADLEY J LUTCHKA (NPI 1780654202) is an individual oral and maxillofacial surgery provider in Moline, Illinois and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1780654202
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameBRADLEY J LUTCHKA
Location Address930 16TH AVEMoline, IL 61265
Mailing Address930 16th AveMoline, IL 61265 · (309) 797-1770 · Fax (309) 797-1791
Phone(309) 797-1770
Fax(309) 797-1791
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJanuary 26, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2020
✔ NPI 1780654202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
930 16TH AVE, Moline, IL 61265
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Bradley J Lutchka 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 ID6406946722
PECOS Enrollment IDI20071226000190
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 61265 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.

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.

CRAIG JAMES THATCHER
Oral & Maxillofacial Surgery
930 16TH AVE
MOLINE, IL 61265
Rock Island County (309) 797-1720
RIVER VALLEY ORAL AND MAXILLOFACIAL SURGERY CLINIC LTD
Dentist (Oral and Maxillofacial Surgery)
930 16TH AVE
MOLINE, IL 61265
Rock Island County (309) 797-1770
CARLETON SCOTT HLADY DDS
Dentist (Oral and Maxillofacial Surgery)
930 16TH AVE
MOLINE, IL 61265
Rock Island County (309) 797-1770

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 Bradley Lutchka's NPI number?

The NPI number for Bradley Lutchka is 1780654202. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Bradley Lutchka located?

Bradley Lutchka practices at 930 16th Ave, Moline, IL 61265. The listed phone number is (309) 797-1770.

What is Bradley Lutchka's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Bradley Lutchka enrolled in Medicare?

Yes. Bradley Lutchka 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 Bradley Lutchka accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Bradley Lutchka 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 Bradley Lutchka was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.