SHANON K LUKE MD - NPI 1255901898 - Pediatrics in Versailles, MO

Q: What is Shanon Luke's NPI number?

The NPI number for Shanon Luke is 1255901898. It was assigned to this individual provider in the NPPES registry on June 27, 2021.

Q: What is Shanon Luke's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Shanon Luke was last updated on December 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Shanon K Luke Md NPPES

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

SHANON K LUKE MD (NPI 1255901898) is an individual pediatrics provider in Versailles, Missouri, licensed in Missouri (2021020969) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sedalia.

NPPES Registry Identity

NPI1255901898

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSHANON K LUKECredential: MD

Location Address1109 W CLAY RDVersailles, MO 65084-1177

Mailing Address305 W Main StSedalia, MO 65301-3821 · (660) 826-4774 · Fax (866) 208-0157

Phone(573) 378-2351

Fax(866) 208-0157

Sole ProprietorYes

Enumeration DateJune 27, 2021

Last NPPES UpdateDecember 3, 20254 updates tracked since enumeration

NPPES CertifiedDecember 3, 2025

✔ NPI 1255901898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MO · 2021020969

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1109 W CLAY RD, Versailles, MO 65084

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Secondary Practice Location 1

Location 1821 WESTWOOD DRSEDALIA, MO 65301-2102 · Phone (660) 826-4774 · Fax (866) 208-0157

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shanon K Luke 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 65084 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

Most-billed visit code 99214

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 11

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

MRS. MARY ANN DIMARSICO DO

Family Medicine