LUKE H. DEGRAAFF MD
NPI 1205457009
Surgery - Vascular Surgery in Salt Lake City, UT

Q: What is Luke Degraaff's NPI number?

The NPI number for Luke Degraaff is 1205457009. It was assigned to this individual provider in the NPPES registry on May 3, 2020.

Q: What is Luke Degraaff's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Luke Degraaff was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 03, 2020PECOS Enrolled

30 N MARIO CAPECCHI DR RM 4S100, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 25, 2025, Sep 10, 2020 (2 updates tracked since 2020).

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About Luke H. Degraaff Md NPPES

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

LUKE H. DEGRAAFF MD (NPI 1205457009) is an individual vascular surgery provider in Salt Lake City, Utah, licensed in Utah (14213038-1205) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Scottsdale.

NPPES Registry Identity

NPI1205457009

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameLUKE H. DEGRAAFFCredential: MD

Location Address30 N MARIO CAPECCHI DR RM 4S100Salt Lake City, UT 84112

Mailing Address30 N Mario Capecchi Dr Rm 4s100Salt Lake City, UT 84112 · (801) 581-2121

Phone(801) 581-2121

Sole ProprietorNo

Enumeration DateMay 3, 2020

Last NPPES UpdateNovember 25, 20252 updates tracked since enumeration

NPPES CertifiedNovember 25, 2025

✔ NPI 1205457009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in UT · 14213038-1205

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

30 N MARIO CAPECCHI DR RM 4S100, Salt Lake City, UT 84112

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Secondary Practice Location 1

Location 113400 E Shea BlvdScottsdale, AZ 85259-5452 · Phone (480) 301-8000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luke H. Degraaff Md 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 84112 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 20

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

ALEXANDER SCHURMAN

Surgery (Vascular Surgery)