MICHAEL WALTER LUSKO D.O. NPI 1811953524

NPI Information

  • NPI: 1811953524
  • Provider Name: MICHAEL WALTER LUSKO, D.O.
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 800 PRUDENTIAL DR
    SUITE 713
    JACKSONVILLE, FL
    ZIP 32207
  • Phone: (904) 396-5682

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NPI Details

Michael Walter Lusko, D.O. is an emergency medicine in Jacksonville, FL with 51 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Michael Walter Lusko, D.O. NPI is 1811953524. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

800 PRUDENTIAL DR
SUITE 713
JACKSONVILLE, FL
ZIP 32207-202
Phone: (904) 396-5682
Fax: (904) 346-0864

The NPI 1811953524 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of skin and tissue, each additional 20.0 sq cm or less (HCPCS:11045)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Management of oxygen chamber therapy (HCPCS:99183)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Removal of tissue from wound, each additional 20.0 sq cm (HCPCS:97598)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)

The enumeration date for this NPI number is 4/21/2006 and was last updated on 5/21/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineOS3713FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D77259MEDICARE UPINFLORIDA
2000762748CMEDICAIDGEORGIA
3P00428011MEDICARE PIN
482132OTHERFLORIDABLUE CROSS
582132VMEDICARE PINFLORIDA
6069703600MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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