MR. LUKE ANDREW SHOULDERS PA-C
NPI 1659895266
Physician Assistant in Creve Coeur, MO

Active since July 26, 2017PECOS EnrolledAccepts Medicare Assignment
11445 OLIVE BLVD, CREVE COEUR, MO 63141(314) 428-9543(314) 428-9542 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 20, 2019, Jul 26, 2017 (2 updates tracked since 2017).

About Mr. Luke Andrew Shoulders Pa-c NPPES

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

MR. LUKE ANDREW SHOULDERS PA-C (NPI 1659895266) is an individual physician assistant in Creve Coeur, Missouri, licensed in Missouri (2019037194) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Raeford, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1659895266
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. LUKE ANDREW SHOULDERSCredential: PA-C
Location Address11445 OLIVE BLVDCreve Coeur, MO 63141-7108
Mailing Address11445 Olive BlvdCreve Coeur, MO 63141-7108 · (314) 428-9543 · Fax (314) 428-9542
Fax(314) 428-9542
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 26, 2017
Last NPPES UpdateNovember 20, 20192 updates tracked since enumeration
NPI 1659895266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in MO · 2019037194 Licensed in NC · 0010-07313
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

11445 OLIVE BLVD, Creve Coeur, MO 63141

Secondary Practice Location 1

Location 1210 Medical Pavilion DrRaeford, NC 28376-9111 · Phone (910) 904-8000 · Fax (910) 615-9829

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

Mr. Luke Andrew Shoulders Pa-c 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 ID2769755800
PECOS Enrollment IDI20230726001417
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 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

Other Providers at the Same Location NPPES 7

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

Physician Assistant
11445 OLIVE BLVD
CREVE COEUR, MO 63141
Physician Assistant
11445 OLIVE BLVD
CREVE COEUR, MO 63141
Nurse Practitioner (Family)
11445 OLIVE BLVD
CREVE COEUR, MO 63141
Family Medicine
11445 OLIVE BLVD
CREVE COEUR, MO 63141
Family Medicine
11445 OLIVE BLVD
CREVE COEUR, MO 63141
Physician Assistant
11445 OLIVE BLVD
CREVE COEUR, MO 63141
Family Medicine
11445 OLIVE BLVD
SAINT LOUIS, MO 63141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659895266, enumerated as an "individual" on July 26, 2017.

The provider is located at 11445 OLIVE BLVD CREVE COEUR, MO 63141 and the phone number is (314) 428-9543.

Physician Assistant with taxonomy code 363A00000X.