Active NPI 1083679286 Individual Practitioner Male Practitioner

Dr. Michael A. Luke , MD

Surgery • North Smithfield, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Luke, MD is a certified Surgery practicing in North Smithfield, RI. With approximately 47 years of clinical experience since graduating from State University Of New York At Buffalo School Of Medicine in 1979, Dr. Luke delivers high-quality medical care to the local community at 501 GREAT RD.

Dr. Luke accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

501 Great Rd
Unit 205

North Smithfield, RI 028966833

Telephone 4017664304

Fax 4017625107

Associated Practice Facility / Clinic

🏢 Stepka Family Dental, Inc. Facility NPI 1003059858

Medicare Profile & Education

Medical School

State University Of New York At Buffalo School Of Medicine

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in North Smithfield, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs Matches City Avg

City Avg: 47.0 Yrs

State Avg: 29.0 Yrs

Regional Practice Density

2 Specialists

Practicing in North Smithfield, RI (160 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Luke (47 Years) 47 Yrs

North Smithfield Specialty Average (47.0 Years) 47.0 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	14	$250.00	$77.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	24	$300.00	$170.88
99213 Established patient office or other outpatient visit, typically 15 minutes	24	20	$200.00	$91.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$300.00	$167.60
49650 Repair of groin hernia using an endoscope	11	11	$900.00	$472.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$250.00	$104.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	40	28	$200.00	$92.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$300.00	$169.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$300.00	$175.07
49650 Repair of groin hernia using an endoscope	12	12	$900.00	$478.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	34	25	$200.00	$90.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$300.00	$169.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$250.00	$116.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	17	$300.00	$200.81
49650 Repair of groin hernia using an endoscope	14	14	$900.00	$520.21

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	43	43	$300.00	$171.73
99213 Established patient office or other outpatient visit, typically 15 minutes	33	24	$200.00	$95.45
49650 Repair of groin hernia using an endoscope	14	14	$871.43	$474.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	13	$300.00	$205.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$250.00	$117.35

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	49	49	$300.00	$171.94
99213 Established patient office or other outpatient visit, typically 15 minutes	31	28	$200.00	$78.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$300.00	$211.02
49650 Repair of groin hernia using an endoscope	14	14	$800.00	$477.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$250.00	$113.03

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	54	54	$300.00	$165.72
99213 Established patient office or other outpatient visit, typically 15 minutes	38	27	$200.00	$74.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	17	$75.00	$44.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$250.00	$109.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$300.00	$201.94
47562 Removal of gallbladder using an endoscope	11	11	$2000.00	$674.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	67	53	$200.00	$70.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$300.00	$161.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$250.00	$105.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	19	$300.00	$197.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$75.00	$43.19

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	45	45	$300.00	$155.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$250.00	$104.24
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$200.00	$70.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	14	$75.00	$42.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$300.00	$194.03
49650 Repair of groin hernia using an endoscope	12	12	$800.00	$502.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$250.00	$103.42

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License RI MD06575

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

9000307 (RI)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Allison Mcateer , MD

Surgery

NPI 1942373279

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 10, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location March 10, 2008

Registered at 501 GREAT RD, UNIT 205, NORTH SMITHFIELD, RI 028966833 (Tel: 4017664304)

📍

Updated Business Mailing Address March 10, 2008

Registered at 501 GREAT RD, UNIT 205, NORTH SMITHFIELD, RI 028966833 (Tel: 4017664304)

👤

Provider Name / Credentials Updated March 10, 2008

Recorded as MICHAEL LUKE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2008

Surgery (License #MD06575 in RI)

🟢

Initial NPI Registration & Enumeration April 19, 2006

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: 1083679286

Entity Type:

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

Enumeration Date: April 19, 2006

Last Update: March 10, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

501 Great Rd, Unit 205

North Smithfield, RI 028966833

Phone: 4017664304

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.