DR. GARY J LUCKASEN M.D.
NPI 1063418572
Internal Medicine - Cardiovascular Disease in Fort Collins, CO

Q: What is Gary Luckasen's NPI number?

The NPI number for Gary Luckasen is 1063418572. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Q: What is Gary Luckasen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Luckasen was last updated on June 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 21, 2005PECOS Enrolled

2121 E HARMONY RD, UNIT 100, FORT COLLINS, CO 80528(970) 221-1000(970) 297-6860 Get Directions Write a Review

NPPES record last updated: June 12, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Gary J Luckasen M.d. NPPES

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

DR. GARY J LUCKASEN M.D. (NPI 1063418572) is an individual cardiovascular disease provider in Fort Collins, Colorado, licensed in Colorado (20789) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063418572

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. GARY J LUCKASENCredential: M.D.

Location Address2121 E HARMONY RD, UNIT 100Fort Collins, CO 80528-3401

Mailing Address2121 E Harmony Rd, Suite 100Fort Collins, CO 80528-3400 · (970) 221-1000 · Fax (970) 297-6860

Phone(970) 221-1000

Fax(970) 297-6860

Sole ProprietorNo

Enumeration DateJune 21, 2005

Last NPPES UpdateJune 12, 2014

✔ NPI 1063418572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in CO · 20789✔ Licensed in NE · 19652

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

2121 E HARMONY RD, Fort Collins, CO 80528

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Other Identifiers 8

Medicare UPIND23832

OtherP00970356NE · Medicare Railroad

OtherP00910572CO · Medicare Railroad

Medicare PINCOA102396CO

Medicare PINNA1625013NE

Medicare PINNA1626013NE

Medicaid103400600WY

Medicaid01207893CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gary J Luckasen M.d. 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.

Medicare Billing Reassignments

Medicare enrollment records show Gary Luckasen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Poudre Valley Medical Group, LLC

7.3 mi

General Practice

2695 ROCKY MOUNTAIN AVE STE 110
Loveland, CO 80538

Reassigned Medicare billing, Colorado enrollment
2,596 clinicians in this Medicare group

NPI 1225356868 (970) 624-4443

Regional West Physicians Clinic

117 mi

Rural Health

1456 CENTER AVE
Mitchell, NE 69357

Reassigned Medicare billing, Nebraska enrollment
208 clinicians in this Medicare group

NPI 1992703425 (308) 623-1234

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80528 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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.

DR. MASON SIDNEY SHAMIS MD

Family Medicine

2121 E HARMONY RD, SUITE 370
FORT COLLINS, CO 80528

Larimer County (970) 221-2290

BETHANY BOLLING AUD.,CCC-A

Audiologist

2121 E HARMONY RD
FORT COLLINS, CO 80528

Larimer County (970) 484-6373

DR. STEPHEN A TREAT M.D.

Internal Medicine (Cardiovascular Disease)

2121 E HARMONY RD, STE 100
FORT COLLINS, CO 80528

Larimer County (970) 221-1000

MR. MICHAEL D JACOBSON PA-C

Physician Assistant (Medical)

2121 E HARMONY RD, SUITE 300
FORT COLLINS, CO 80528

Larimer County (970) 224-9102

DR. DIANA M BREYER M.D.

Internal Medicine (Pulmonary Disease)

2121 E HARMONY RD, SUITE 300
FORT COLLINS, CO 80528

Larimer County (970) 224-9102

LAURA LYNN MADIGAN P.A.

Physician Assistant

2121 E HARMONY RD, SUITE 310
FORT COLLINS, CO 80528

Larimer County (970) 221-3855

DR. JOHN A COLLINS M.D.

Surgery

2121 E HARMONY RD, STE 330
FORT COLLINS, CO 80528

Larimer County (970) 221-5878

NORTHERN COLORADO HAND & WRIST CENTER PC

Orthopaedic Surgery (Hand Surgery)

2121 E HARMONY RD, UNIT 260
FORT COLLINS, CO 80528

Larimer County (970) 221-2827

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 Gary Luckasen's NPI number?

The NPI number for Gary Luckasen is 1063418572. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Gary Luckasen located?

Gary Luckasen practices at 2121 E Harmony Rd Unit 100, Fort Collins, CO 80528. The listed phone number is (970) 221-1000.

What is Gary Luckasen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Gary Luckasen enrolled in Medicare?

Yes. Gary Luckasen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gary Luckasen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Luckasen reassigns Medicare benefits to 2 organizations: Poudre Valley Medical Group, LLC (Loveland, CO) and Regional West Physicians Clinic (Mitchell, NE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gary Luckasen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gary Luckasen was last updated on June 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.