MARISA LUCK
NPI 1013619154
Dermatology in Maywood, IL

Active since March 21, 2023PECOS Enrolled
2160 S 1ST AVE, MAYWOOD, IL 60153(888) 584-7888 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2024, Jul 11, 2023, Jun 5, 2023 and 1 more (4 updates tracked since 2023).

About Marisa Luck NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISA LUCK (NPI 1013619154) is an individual dermatology provider in Maywood, Illinois, licensed in Illinois (125.081766) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013619154
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameMARISA LUCK
Location Address2160 S 1ST AVEMaywood, IL 60153-3328
Mailing Address3249 Oak Park AveBerwyn, IL 60402-3429
Sole ProprietorNo
Enumeration DateMarch 21, 2023
Last NPPES UpdateMay 22, 20244 updates tracked since enumeration
NPPES CertifiedMay 22, 2024
NPI 1013619154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in IL · 125.081766
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125.081766 (IL)
2160 S 1ST AVE, Maywood, IL 60153

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Marisa Luck is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60153 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Podiatrist (Foot & Ankle Surgery)
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Neurology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Oral & Maxillofacial Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Psychiatry)
2160 S 1ST AVE
MAYWOOD, IL 60153
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE
MAYWOOD, IL 60153
Orthopaedic Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Internal Medicine
2160 S 1ST AVE
MAYWOOD, IL 60153

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marisa Luck's NPI number?

The NPI number for Marisa Luck is 1013619154. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Marisa Luck located?

Marisa Luck practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (888) 584-7888.

What is Marisa Luck's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Marisa Luck enrolled in Medicare?

Yes. Marisa Luck is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marisa Luck was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.