Jacob Lutz, PHD
NPI 1164860052 · Clinical Neuropsychologist · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Lutz, PHD is a Clinical Neuropsychologist provider in Fort Wayne, IN (NPI 1164860052).
Provider details
- NPI number
- 1164860052
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 20042679A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,073 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Psychological Or Neuropsychological Test By Technician, Each Additional 30 Minutes96139 | 660 | $31 |
| Psychiatric Diagnostic Evaluation90791 | 111 | $164 |
| Evaluation of Neuropsychological Test, First Hour96132 | 107 | $120 |
| Administration of Psychological Or Neuropsychological Test By Technician, First 30 Minutes96138 | 106 | $31 |
| Evaluation of Neuropsychological Test, Each Additional Hour96133 | 89 | $91 |
Typical Medicare-allowed amounts for these services range $31–$164 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-06-13
- Last updated
- 2013-06-13
Frequently asked questions
- What is Jacob Lutz's NPI number?
- Jacob Lutz's National Provider Identifier (NPI) is 1164860052, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Lutz's specialty?
- Jacob Lutz is listed in the NPPES registry with a primary specialty of Clinical Neuropsychologist (Behavioral Health & Social Service Providers).
- Where is Jacob Lutz located?
- Jacob Lutz's practice location on file with NPPES is 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673.
- What is Jacob Lutz's phone number?
- The practice phone number listed in the NPPES registry for Jacob Lutz is (260) 460-3203.
- Does Jacob Lutz accept Medicare?
- Jacob Lutz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Lutz's NPI active?
- Yes — Jacob Lutz's NPI (1164860052) is active in the NPPES registry as of the last update on 2013-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.