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TANNER LUKE DPM
NPI 1144924978
Podiatrist in Provo, UT

Active since March 27, 2023PECOS Enrolled

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tanner Luke Dpm NPPES

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

TANNER LUKE DPM (NPI 1144924978) is an individual podiatrist in Provo, Utah, licensed in Utah (14237929-0501) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Barry University School Of Podiatric Medicine (2023).

NPPES Registry Identity

NPI1144924978
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameTANNER LUKECredential: DPM
Location Address1001 N 500 WProvo, UT 84604-3305
Mailing Address8500 W 110th St Ste 260Overland Park, KS 66210-1892
Phone(877) 674-1211
Sole ProprietorYes
Medical School CMSBarry University School Of Podiatric MedicineGraduated 2023
Enumeration DateMarch 27, 2023
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1144924978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in UT · 14237929-0501
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1001 N 500 W, Provo, UT 84604
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanner Luke Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183188337
PECOS Enrollment IDI20260709001862
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 Reassignment

Medicare enrollment records show Tanner Luke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aria Podiatry Care PLLC
1,816 mi
Podiatrist
1280 HENLEY RD
Middleburg, FL 32068
  • Reassigned Medicare billing, Iowa and Utah enrollments
  • 3 clinicians in this Medicare group
NPI 1568160091 (904) 600-3798

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 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 16

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

ALYSSA NOEL COOK OTR/L
Occupational Therapist
1001 N 500 W
PROVO, UT 84604
Utah County (801) 377-9661
CONSUELO ISABEL GARZA
Recreation Therapist
1001 N 500 W
PROVO, UT 84604
Utah County (801) 377-9661
SUMMER ALYSE BROEKER
Recreation Therapist
1001 N 500 W
PROVO, UT 84604
Utah County (801) 377-9661
KATERINA CORRAL PENA-KENNAN
Recreation Therapist
1001 N 500 W
PROVO, UT 84604
Utah County (385) 608-2855
EMILY M CARLISLE
Recreation Therapist
1001 N 500 W
PROVO, UT 84604
Utah County (505) 435-5883
KIERA TAYLOR
Recreation Therapist
1001 N 500 W
PROVO, UT 84604
Utah County (801) 318-5761
KAREN SWISHER PTA
Physical Medicine & Rehabilitation
1001 N 500 W
PROVO, UT 84604
Utah County (801) 377-9661
SAUL VILLALOBOS ESCORZA APRN, FNP-C
Nurse Practitioner (Family)
1001 N 500 W
PROVO, UT 84604
Utah County (385) 482-5685

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 Tanner Luke's NPI number?

The NPI number for Tanner Luke is 1144924978. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Tanner Luke located?

Tanner Luke practices at 1001 N 500 W, Provo, UT 84604. The listed phone number is (877) 674-1211.

What is Tanner Luke's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Tanner Luke enrolled in Medicare?

Yes. Tanner Luke is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tanner Luke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanner Luke reassigns Medicare benefits to Aria Podiatry Care PLLC (Middleburg, FL). The 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 Tanner Luke'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 Tanner Luke was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.