DR. ANDREW LUCKEY III M.D.
NPI 1568516086
Specialist in Simi Valley, CA

Q: What is Andrew Luckey's NPI number?

The NPI number for Andrew Luckey is 1568516086. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Q: What is Andrew Luckey's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Luckey was last updated on April 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since January 22, 2007PECOS EnrolledAccepts Medicare Assignment

97.12/100

CMS Quality Rating

2650 JONES WAY, SUITE 2, SIMI VALLEY, CA 93065(805) 577-7977(805) 577-0745 Get Directions Write a Review

NPPES record last updated: April 21, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Andrew Luckey Iii M.d. NPPES

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

DR. ANDREW LUCKEY III M.D. (NPI 1568516086) is an individual specialist in Simi Valley, California, licensed in California (A69654) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (1998).

NPPES Registry Identity

NPI1568516086

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. ANDREW LUCKEY IIICredential: M.D.

Location Address2650 JONES WAY, SUITE 2Simi Valley, CA 93065-1203

Mailing Address1189 Swallow Ln, Ste 201Simi Valley, CA 93065-3157 · (805) 577-7977 · Fax (805) 577-0745

Phone(805) 577-7977

Fax(805) 577-0745

Sole ProprietorYes

Medical School CMSHoward University College Of MedicineGraduated 1998

Enumeration DateJanuary 22, 2007

Last NPPES UpdateApril 21, 2016

✔ NPI 1568516086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · A69654

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2650 JONES WAY, Simi Valley, CA 93065

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Other Identifiers 2

Medicare UPINI36128CA

OtherA69654CA · State License

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

Dr. Andrew Luckey Iii 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 ID6002845039

PECOS Enrollment IDI20050809001159

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 3

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.

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.

37 services36 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

28 services15 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

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.

97.12/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.24

Promoting Interoperability

100

Improvement Activities

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.

DR. OMID RABBANI M.D.

Psychiatry & Neurology (Neurology)

2650 JONES WAY, 30
SIMI VALLEY, CA 93065

Ventura County (805) 579-9999

AEGIS TREATMENT CENTERS, LLC

Clinic/Center (Methadone)

2650 JONES WAY, SUITE #10
SIMI VALLEY, CA 93065

Ventura County (805) 522-1844

ECHO TECHIMAGING INC

Radiologic Technologist (Cardiac-Interventional Technology)

2650 JONES WAY, SUITE 9
SIMI VALLEY, CA 93065

Ventura County (805) 522-5711

CARLA SPADAFORA MA

Counselor (Addiction (Substance Use Disorder))

2650 JONES WAY, #10
SIMI VALLEY, CA 93065

Ventura County (805) 522-1844

ADVANCED PSYCHIATRIC TMS, LLC

Psychiatry & Neurology (Psychiatry)

2650 JONES WAY, SUITE 27B
SIMI VALLEY, CA 93065

Ventura County (805) 582-4995

CRISIS PREGNANCY CENTER OF SIMI VALLEY

Clinic/Center

2650 JONES WAY, SUITE 31
SIMI VALLEY, CA 93065

Ventura County (805) 583-3598

MRS. LINDA JOAN SAVAGE RNFA

Registered Nurse

2650 JONES WAY, SUITE 2
SIMI VALLEY, CA 93065

Ventura County (805) 577-7977

MRS. DEBORAH LOUISE WINTERS

Counselor (Addiction (Substance Use Disorder))

2650 JONES WAY, 10
SIMI VALLEY, CA 93065

Ventura County (805) 522-1844

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 Andrew Luckey's NPI number?

The NPI number for Andrew Luckey is 1568516086. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Andrew Luckey located?

Andrew Luckey practices at 2650 Jones Way Suite 2, Simi Valley, CA 93065. The listed phone number is (805) 577-7977.

What is Andrew Luckey's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Andrew Luckey enrolled in Medicare?

Yes. Andrew Luckey 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.

When was this NPI record last updated?

The NPPES record for Andrew Luckey was last updated on April 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.