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Deactivated NPI 1306844808 Deactivated / Inactive NPI Male Practitioner

Dr. John W Luckwitz , MD

Anesthesiology • Vancouver, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Luckwitz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 08, 2005
NPI Deactivation Date September 06, 2018
Total Practice Duration ~13 Years of Practice (2005 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. John Luckwitz, MD was a registered Anesthesiology practicing in Vancouver, WA. Throughout an active medical career spanning 13 years, Dr. Luckwitz provided care at the practice location at 2312 NE 129TH ST until profile deactivation on 2018-09-06.

Historical Medicare Part B clinical services included injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level, established patient outpatient office visit, injection of substance into middle or upper spine canal using imaging guidance. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2312 Ne 129th St

Vancouver, WA 986863236

Telephone 3606965022
Fax 3606965445
Associated Practice Facility / Clinic
🏢 Pacific Northwest Pain Center Facility NPI 1114295300

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.7 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
74 Specialists

Practicing in Vancouver, WA (1746 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
60 56 $446.05 $159.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
45 45 $207.00 $73.62
62321 Injection of substance into middle or upper spine canal using imaging guidance
11 11 $292.00 $102.00

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License WA MD00042523

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Kate Whiteneck , DO

Physical Medicine & Rehabilitation

NPI 1033799739

Doctor of Osteopathic Medicine (D.O.)

Linina Zocchi , ARNP

Nurse Practitioner - Adult Health

NPI 1073500260

Advanced Registered Nurse Practitioner

Dr. Abbas Asgerally , MD

Pain Medicine - Pain Medicine

NPI 1104269711

Doctor of Medicine (M.D.)

Dr. Eun Yi , MD

Anesthesiology - Pain Medicine

NPI 1376731208

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 06, 2018

Record deactivated on September 06, 2018

NPI Profile Active February 27, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 27, 2013

Registered at 2312 NE 129TH ST, VANCOUVER, WA 986863236 (Tel: 3606965022)

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Updated Business Mailing Address February 27, 2013

Registered at PO BOX 27688, SALT LAKE CITY, UT 841270688 (Tel: 8015341360)

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Provider Name / Credentials Updated February 27, 2013

Recorded as JOHN LUCKWITZ, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2013

Anesthesiology (License #MD00042523 in WA)

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Initial NPI Registration & Enumeration July 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306844808
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2005
Last Update: February 27, 2013
Deactivation Date: September 06, 2018

Mailing Address

Po Box 27688

Salt Lake City, UT 841270688

Phone: 8015341360

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.