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LUKE T PORGINSKI ACNPC-AG
NPI 1417547506
Nurse Practitioner - Acute Care in Portsmouth, OH

Active since January 22, 2021PECOS EnrolledAccepts Medicare Assignment
76.08/100
CMS Quality Rating
1805 27TH ST, PORTSMOUTH, OH 45662(740) 356-6891(740) 356-1280 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Luke T Porginski Acnpc-ag NPPES

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

LUKE T PORGINSKI ACNPC-AG (NPI 1417547506) is an individual acute care provider in Portsmouth, Ohio, licensed in Ohio (APRN.CNP.026441) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417547506
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameLUKE T PORGINSKICredential: ACNPC-AG
Location Address1805 27TH STPortsmouth, OH 45662-2686
Mailing Address1735 27th St Ste B06Portsmouth, OH 45662-2681 · (740) 356-6891 · Fax (740) 356-1280
Phone(740) 356-6891
Fax(740) 356-1280
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 22, 2021
Last NPPES UpdateJune 27, 2023
NPPES CertifiedJune 27, 2023
✔ NPI 1417547506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · APRN.CNP.026441
1805 27TH ST, Portsmouth, OH 45662
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Luke T Porginski Acnpc-ag 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 ID5799194692
PECOS Enrollment IDI20210505002083
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
79 services72 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
45 services24 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
17 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45662 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.17
Promoting Interoperability100
Improvement Activities40
Cost43.98

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.

JEANNA M HULL PA-C
Physician Assistant
1805 27TH ST
PORTSMOUTH, OH 45662
Scioto County (740) 356-8310
DR. SHAYNA B. TOMCHIN MD
Pathology (Anatomic Pathology & Clinical Pathology)
1805 27TH ST
PORTSMOUTH, OH 45662
Scioto County (740) 356-8280
DR. MATTHEW RAY HARCHA D.O
Emergency Medicine
1805 27TH ST
PORTSMOUTH, OH 45662
Scioto County (740) 356-5000
LORETTA A SETTONNI MD
Radiology (Diagnostic Radiology)
1805 27TH ST
PORTSMOUTH, OH 45662
Scioto County (740) 356-8117
DR. RAMEZ A MALATY M.D.
Radiology (Diagnostic Radiology)
1805 27TH ST
PORTSMOUTH, OH 45662
Scioto County (740) 356-8681
JOSHUA BOMMELJE PA-C
Physician Assistant
1805 27TH ST
PORTSMOUTH, OH 45662
Scioto County (740) 356-5000
DUSTIN LEE JOHNSON MD
Radiology (Diagnostic Radiology)
1805 27TH ST
PORTSMOUTH, OH 45662
Scioto County (740) 356-5000
DR. MEGHAN KELLY MCCORMICK D.O.
Emergency Medicine
1805 27TH ST
PORTSMOUTH, OH 45662
Scioto County (740) 356-5000

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 Luke Porginski's NPI number?

The NPI number for Luke Porginski is 1417547506. It was assigned to this individual provider in the NPPES registry on January 22, 2021.

Where is Luke Porginski located?

Luke Porginski practices at 1805 27th St, Portsmouth, OH 45662. The listed phone number is (740) 356-6891.

What is Luke Porginski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Luke Porginski enrolled in Medicare?

Yes. Luke Porginski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Luke Porginski accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list Luke Porginski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Luke Porginski affiliated with any hospitals?

According to CMS data, Luke Porginski is affiliated with Southern Ohio Medical Center.

When was this NPI record last updated?

The NPPES record for Luke Porginski was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.