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LUKE ALEXANDER GILLIS PA-C
NPI 1053042077
Physician Assistant - Medical in Potsdam, NY

Active since June 21, 2022PECOS EnrolledAccepts Medicare Assignment
95.38/100
CMS Quality Rating
50 LEROY ST, POTSDAM, NY 13676(315) 265-3300 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 20, 2025, Jul 22, 2022 (2 updates tracked since 2022).

About Luke Alexander Gillis Pa-c NPPES

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

LUKE ALEXANDER GILLIS PA-C (NPI 1053042077) is an individual medical provider in Potsdam, New York, licensed in North Carolina (10010-14575) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Unc Rockingham, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053042077
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameLUKE ALEXANDER GILLISCredential: PA-C
Location Address50 LEROY STPotsdam, NY 13676-1799
Mailing Address50 Leroy StPotsdam, NY 13676-1786 · (315) 265-3300
Phone(315) 265-3300
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 21, 2022
Last NPPES UpdateNovember 20, 20252 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1053042077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 10010-14575
50 LEROY ST, Potsdam, NY 13676
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Luke Alexander Gillis Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517349731
PECOS Enrollment IDI20241115000526
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
107 services103 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
86 services81 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
21 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unc Rockingham

Acute Care Hospitals · Eden, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340060
Location117 E Kings HighwayEden, NC 27288 · Rockingham County
Emergency services Birthing friendly

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.26
Promoting Interoperability99.17
Improvement Activities40

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.

JULIE LYNN LAWLESS LCSW
Social Worker (Clinical)
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
DR. KYLE FLINT PHARMD, RPH
Pharmacist
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
HEATHER MACKINNON
Physician Assistant
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
KARYN SULLIVAN PA
Emergency Medicine
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 782-2620
COREEN BOHL MSW, LCSW, ACHP-SW
Social Worker (Clinical)
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
KELSEY MILLER
Pharmacist
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 261-5511
CHRISTINA KASHMER PA
Physician Assistant
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
YASMEEN ZAIDI MS
Counselor (Mental Health)
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300

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 Luke Gillis's NPI number?

The NPI number for Luke Gillis is 1053042077. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Where is Luke Gillis located?

Luke Gillis practices at 50 Leroy St, Potsdam, NY 13676. The listed phone number is (315) 265-3300.

What is Luke Gillis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Luke Gillis enrolled in Medicare?

Yes. Luke Gillis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Luke Gillis accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Luke Gillis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Luke Gillis affiliated with any hospitals?

According to CMS data, Luke Gillis is affiliated with Unc Rockingham and Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Luke Gillis was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.