ELIZABETH LUKETICH PA
NPI 1174092837
Physician Assistant in Sioux Falls, SD

Q: What is Elizabeth Luketich's NPI number?

The NPI number for Elizabeth Luketich is 1174092837. It was assigned to this individual provider in the NPPES registry on November 24, 2018.

Q: What is Elizabeth Luketich's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since November 24, 2018PECOS EnrolledAccepts Medicare Assignment

1321 W 22ND ST, SIOUX FALLS, SD 57105(605) 404-4000 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2026, Aug 21, 2019, Aug 15, 2019 and 1 more (4 updates tracked since 2018).

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About Elizabeth Luketich Pa NPPES

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

ELIZABETH LUKETICH PA (NPI 1174092837) is an individual physician assistant in Sioux Falls, South Dakota, licensed in South Dakota (1684) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1174092837

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameELIZABETH LUKETICHCredential: PA

Location Address1321 W 22ND STSioux Falls, SD 57105-1502

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(605) 404-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 24, 2018

Last NPPES UpdateMay 4, 20264 updates tracked since enumeration

NPPES CertifiedMay 4, 2026

✔ NPI 1174092837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in SD · 1684

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 25MP00500000 (NJ)

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 4341 (CT)

1321 W 22ND ST, Sioux Falls, SD 57105

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Secondary Practice Locations 2

Location 134 Engle StEnglewood, NJ 07631-2905 · Phone (201) 886-7846

Location 26 Greenwich Office ParkGreenwich, CT 06831-5151 · Phone (203) 869-1145 · Fax (203) 618-1721

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

Elizabeth Luketich Pa 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 ID6406184308

PECOS Enrollment IDI20260519000131

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 57105 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

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.

HALEY ASHLYN GALLMAN

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