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TIMOTHY A LUKE M.D.
NPI 1437125846
Orthopaedic Surgery in Phoenix, AZ

Active since February 24, 2006PECOS EnrolledAccepts Medicare Assignment
79.89/100
CMS Quality Rating
8805 N 23RD AVE STE 120, PHOENIX, AZ 85021(602) 265-8800(602) 258-4371 Get Directions Write a Review

NPPES record last updated: January 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy A Luke M.d. NPPES

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

TIMOTHY A LUKE M.D. (NPI 1437125846) is an individual orthopaedic surgery provider in Phoenix, Arizona, licensed in Arizona (41183) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mesa, and is a graduate of University Of Colorado School Of Medicine, Denver (1996).

NPPES Registry Identity

NPI1437125846
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameTIMOTHY A LUKECredential: M.D.
Location Address8805 N 23RD AVE STE 120Phoenix, AZ 85021-4149
Mailing Address8805 N 23rd Ave Ste 120Phoenix, AZ 85021-4149 · (602) 265-8800 · Fax (602) 258-4371
Phone(602) 265-8800
Fax(602) 258-4371
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1996
Enumeration DateFebruary 24, 2006
Last NPPES UpdateJanuary 20, 2020
✔ NPI 1437125846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in AZ · 41183
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

8805 N 23RD AVE STE 120, Phoenix, AZ 85021
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Secondary Practice Location 1

Location 14860 E Baseline Rd Ste 103Mesa, AZ 85206-4670 · Phone (602) 265-8800 · Fax (602) 258-4371

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. 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

Timothy A Luke M.d. 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 ID1456312560
PECOS Enrollment IDI20091209000185
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 9

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
90 services58 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
80 services57 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
70 services70 patients
Self soft tissue graft 15769
A self soft tissue graft is a dental procedure where tissue from your own mouth is used to treat areas with gum recession. This can protect roots, reduce sensitivity, and improve gum health. It's a common, safe procedure.
27 services27 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
21 services21 patients
Fusion of spine in lower back 22612
Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85021 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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.

79.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality49.73
Improvement Activities40
Cost100

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
4%24 patients1/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
38%63 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%33 patients1/55-star benchmark: 100%
HIV Screening
0%28 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
4%24 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%61 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%24 patients1/55-star benchmark: 61%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 35 patients
Patients totalRate: 0% · 35 patients
0%35 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
1 supplier20 claims20 services$667.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

LARRY LYNCH LCSW
Social Worker (Clinical)
8805 N 23RD AVE STE 120
PHOENIX, AZ 85021
Maricopa County (602) 265-8800
ARIZONA PAIN TREATMENT CENTER, P C
Clinical Medical Laboratory
8805 N 23RD AVE STE 120
PHOENIX, AZ 85021
Maricopa County (602) 265-8800
ARIZONA PAIN TREATMENT CENTER P C
Pain Medicine (Interventional Pain Medicine)
8805 N 23RD AVE STE 120
PHOENIX, AZ 85021
Maricopa County (602) 254-6879

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 Timothy Luke's NPI number?

The NPI number for Timothy Luke is 1437125846. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Timothy Luke located?

Timothy Luke practices at 8805 N 23rd Ave Ste 120, Phoenix, AZ 85021. The listed phone number is (602) 265-8800.

What is Timothy Luke's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Timothy Luke enrolled in Medicare?

Yes. Timothy Luke 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 Timothy Luke accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Timothy Luke 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.

When was this NPI record last updated?

The NPPES record for Timothy Luke was last updated on January 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.