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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. LUKE GERARD NELLIGAN D.O.
NPI 1578540522
Family Medicine in Whitestown, IN

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment
5175 E 300 S, WHITESTOWN, IN 46075(765) 335-6301(317) 536-3591 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2026, May 13, 2026 (2 updates tracked since 2026).

About Mr. Luke Gerard Nelligan D.o. NPPES

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

MR. LUKE GERARD NELLIGAN D.O. (NPI 1578540522) is an individual family medicine provider in Whitestown, Indiana, licensed in Indiana (02001548) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (1991).

NPPES Registry Identity

NPI1578540522
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. LUKE GERARD NELLIGANCredential: D.O.
Location Address5175 E 300 SWhitestown, IN 46075-9591
Mailing Address4615 Rockcress CtZionsville, IN 46077-8127 · (317) 503-1654 · Fax (317) 536-3591
Phone(765) 335-6301
Fax(317) 536-3591
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1991
Enumeration DateDecember 29, 2005
Last NPPES UpdateSeptember 18, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1578540522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 02001548
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5175 E 300 S, Whitestown, IN 46075
Open in Google Maps ↗

Other Identifiers 6

Other768544Cigna
Other5428035Aetna
Medicaid100465550AIN
Other000000520470Anthem
Medicaid200856130IN
Other15D1069058IN · Clia

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Luke Gerard Nelligan D.o. 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 ID8022109545
PECOS Enrollment IDI20070813000113, I20241106001569, I20241107001333, I20241107001730, I20241107002556, I20241107002907, I20241113002888, I20241113003263, I20241113003608, I20241113003971, I20241212001777, I20241218000164, I20251117003092
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Luke Nelligan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hamilton Medical Consultants LLC
41 mi
Internal Medicine
3851 N RIVER RD
W Lafayette, IN 47906
  • Reassigned Medicare billing, Indiana enrollment
  • 23 clinicians in this Medicare group
NPI 1265851935 (765) 497-8530
Hospice Advantage, LLC
48 mi
Hospice and Palliative Medicine
3530 WEST FOX RIDGE LANE
Muncie, IN 47304
  • Reassigned Medicare billing, Indiana enrollment
  • 3 clinicians in this Medicare group
NPI 1700346004 (765) 288-2162
Solace Health Medical Group Inc
1,935 mi
Geriatric Medicine
401 WARREN ST STE 300
Redwood City, CA 94063
  • Reassigned Medicare billing, Alabama, Colorado, Delaware, Illinois, Indiana, Louisiana, Michigan, Minnesota, Nebraska, New Jersey, Oklahoma, Tennessee and Vermont enrollments
  • 21 clinicians in this Medicare group
NPI 1801669924 (708) 320-1477

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
29 services29 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.
14 services14 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46075 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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 Nelligan's NPI number?

The NPI number for Luke Nelligan is 1578540522. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Luke Nelligan located?

Luke Nelligan practices at 5175 E 300 S, Whitestown, IN 46075. The listed phone number is (765) 335-6301.

What is Luke Nelligan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Luke Nelligan enrolled in Medicare?

Yes. Luke Nelligan 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.

Which organizations bill Medicare for Luke Nelligan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luke Nelligan reassigns Medicare benefits to 3 organizations: Hamilton Medical Consultants LLC (W Lafayette, IN), Hospice Advantage, LLC (Muncie, IN) and Solace Health Medical Group Inc (Redwood City, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Luke Nelligan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luke Nelligan accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Anthem Blue Cross and Blue Shield, CareSource and CareSource (Common Ground Healthcare) and 1 other insurer list Luke Nelligan 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 Luke Nelligan was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.