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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.

DR. BRADLEY BENTON LUTZ M.D.
NPI 1891488664
Family Medicine in Gillette, WY

Active since May 30, 2023PECOS Enrolled
501 S BURMA AVE, GILLETTE, WY 82716(307) 688-3636 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 17, 2026, Aug 14, 2026, May 30, 2023 (3 updates tracked since 2023).

About Dr. Bradley Benton Lutz M.d. NPPES

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

DR. BRADLEY BENTON LUTZ M.D. (NPI 1891488664) is an individual family medicine provider in Gillette, Wyoming, licensed in Wyoming (TL9317) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891488664
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BRADLEY BENTON LUTZCredential: M.D.
Location Address501 S BURMA AVEGillette, WY 82716-3426
Mailing AddressPo Box 3011Gillette, WY 82717-3011 · (307) 688-1000
Phone(307) 688-3636
Sole ProprietorNo
Enumeration DateMay 30, 2023
Last NPPES UpdateAugust 17, 20263 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1891488664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WY · TL9317
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
501 S BURMA AVE, Gillette, WY 82716
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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. Bradley Benton Lutz M.d. 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 82716 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
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 20

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

DANA G HALBROOKS CRNA
Nurse Anesthetist, Certified Registered
501 S BURMA AVE
GILLETTE, WY 82716
Campbell County (307) 688-1000
CAMPBELL COUNTY HOSPITAL DISTRICT
Internal Medicine (Pulmonary Disease)
501 S BURMA AVE, 3S-PULM
GILLETTE, WY 82716
Campbell County (307) 688-3636
PHILIP MCMAHILL M.D.
Internal Medicine (Hematology & Oncology)
501 S BURMA AVE
GILLETTE, WY 82716
Campbell County (307) 688-6230
MS. JUDETH PETERSEN M.A., LPC
Counselor
501 S BURMA AVE
GILLETTE, WY 82716
Campbell County (307) 688-5000
PATRICIA MCJILTON APRN
Nurse Practitioner (Adult Health)
501 S BURMA AVE
GILLETTE, WY 82716
Campbell County (307) 688-3636
JACOB WILLIAM PARMLEY DO
Family Medicine
501 S BURMA AVE
GILLETTE, WY 82716
Campbell County (307) 688-3636
CAMPBELL COUNTY HOSPITAL DISTRICT
Emergency Medicine
501 S BURMA AVE
GILLETTE, WY 82716
Campbell County (307) 688-1415
DEREK FRIEDLAN BS
Social Worker
501 S BURMA AVE
GILLETTE, WY 82716
Campbell County (307) 688-5007

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 Lutz's NPI number?

The NPI number for Bradley Lutz is 1891488664. It was assigned to this individual provider in the NPPES registry on May 30, 2023.

Where is Bradley Lutz located?

Bradley Lutz practices at 501 S Burma Ave, Gillette, WY 82716. The listed phone number is (307) 688-3636.

What is Bradley Lutz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bradley Lutz enrolled in Medicare?

Yes. Bradley Lutz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bradley Lutz was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.