Active NPI 1932252970 Individual Practitioner Female Practitioner

Dr. Patricia D. Luckeroth , MD

Surgery • Salem, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Patricia Luckeroth, MD is a certified Surgery practicing in Salem, OR. With approximately 21 years of clinical experience since graduating from Tufts University School Of Medicine in 2005, Dr. Luckeroth delivers high-quality medical care to the local community at 665 WINTER ST SE.

Dr. Luckeroth is affiliated with Salem Health and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, partial removal of breast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

665 Winter St Se

Salem, OR 973013934

Telephone 5035612448

Associated Practice Facility / Clinic

🏢 Emergency & Acute Care Medical Company - Oregon Facility NPI 1124078233

Medicare Profile & Education

Medical School

Tufts University School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Salem, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -2.4 yrs vs City Avg

City Avg: 23.4 Yrs

State Avg: 23.3 Yrs

Regional Practice Density

30 Specialists

Practicing in Salem, OR (555 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Luckeroth (21 Years) 21 Yrs

Salem Specialty Average (23.4 Years) 23.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	32	$342.00	$123.64
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$587.00	$211.45
19301 Partial removal of breast	18	16	$1773.94	$617.50
38900 Lymph node imaging during surgery	14	14	$353.00	$125.87
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	13	13	$1155.00	$206.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	35	$312.00	$117.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	20	$439.00	$171.97
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$536.00	$210.23
19301 Partial removal of breast	22	21	$1700.28	$645.84
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	17	15	$80.00	$30.79
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	16	16	$1115.63	$219.62
38900 Lymph node imaging during surgery	15	15	$345.60	$134.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	36	$314.00	$121.10
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$536.00	$201.63
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$221.00	$87.36
19301 Partial removal of breast	15	15	$1570.00	$599.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$406.00	$160.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	47	39	$206.00	$87.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$294.00	$125.78
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$500.00	$214.49
38900 Lymph node imaging during surgery	13	13	$299.00	$129.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$183.00	$73.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$266.00	$106.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$263.00	$97.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$392.00	$160.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	23	$262.00	$105.10
99213 Established patient office or other outpatient visit, typically 15 minutes	15	12	$179.00	$72.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$258.00	$105.34
19301 Partial removal of breast	14	13	$1465.00	$616.37
38900 Lymph node imaging during surgery	13	13	$305.00	$136.24
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$493.00	$201.53
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$987.00	$215.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	29	$280.00	$102.56
99213 Established patient office or other outpatient visit, typically 15 minutes	21	16	$190.00	$69.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$426.00	$148.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$522.00	$195.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$187.00	$70.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	36	21	$180.00	$71.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	21	$265.00	$103.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$405.00	$159.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	16	$179.00	$70.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	11	11	$97.00	$38.39

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OR MD175434

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License MA 225417

Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2086S0105X

State License CA A116738

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Hospital & Practice Group Affiliations

Salem Health

890 Oak St Se, Salem, OR 973013905

Phone: 5035615200

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Jiyoun Kim , MD

Surgery

NPI 1053400713

Doctor of Medicine (M.D.)

Dr. Elizabeth Windell , DO

Surgery - Trauma Surgery

NPI 1124261979

Doctor of Osteopathic Medicine (D.O.)

Dr. Hannah Hayes , MD

Surgery - Surgical Critical Care

NPI 1124414008

Doctor of Medicine (M.D.)

Dr. Kelly Fair , MD

Surgery

NPI 1144547415

Doctor of Medicine (M.D.)

Alexis Burke , MEDICAL STUDENT

Student in an Organized Health Care Education/Training Program

NPI 1164275921

MEDICALSTUDENT

Dr. West Livaudais , MD

Surgery - Trauma Surgery

NPI 1194828533

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 11, 2019

Registered at 665 WINTER ST SE, SALEM, OR 973013934 (Tel: 5035612448)

📍

Updated Business Mailing Address January 11, 2019

Registered at PO BOX 13129, SALEM, OR 973091129

✅

NPI Profile Active September 08, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 08, 2014

Registered at 2605 LOMA VISTA RD, VENTURA, CA 930031548 (Tel: 8056482227)

📍

Updated Business Mailing Address September 08, 2014

Registered at 2605 LOMA VISTA RD, VENTURA, CA 930031548 (Tel: 8056482227)

👤

Provider Name / Credentials Updated September 08, 2014

Recorded as PATRICIA LUCKEROTH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2014

Surgery (License #225417 in MA)

🟢

Initial NPI Registration & Enumeration January 22, 2007

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: 1932252970

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 22, 2007

Last Update: January 11, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 13129

Salem, OR 973091129

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.