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

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: August 02, 2026.

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, and ordering and referring status from the CMS PECOS system.

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.

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
LUCY HOLT MS, LCGC
Genetic Counselor, MS
2121 E HARMONY RD
FORT COLLINS, CO 80528
Larimer County (970) 493-6337
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

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.

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.