ANDREA S LUKES M.D.
NPI 1669556718
Obstetrics & Gynecology - Gynecology in Durham, NC

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
91.1/100
CMS Quality Rating
249 E NC HIGHWAY 54, SUITE 330, DURHAM, NC 27713(919) 251-9223(919) 251-9343 Get Directions Write a Review

NPPES record last updated: March 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrea S Lukes M.d. NPPES

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

ANDREA S LUKES M.D. (NPI 1669556718) is an individual gynecology provider in Durham, North Carolina, licensed in North Carolina (9801365) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (1998).

NPPES Registry Identity

NPI1669556718
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameANDREA S LUKESCredential: M.D.
Location Address249 E NC HIGHWAY 54, SUITE 330Durham, NC 27713-7512
Mailing AddressPo Box 61721Durham, NC 27715-1721 · (919) 544-6318 · Fax (919) 544-6336
Fax(919) 251-9343
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1998
Enumeration DateOctober 25, 2006
Last NPPES UpdateMarch 10, 2008
NPI 1669556718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in NC · 9801365
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
249 E NC HIGHWAY 54, Durham, NC 27713

Other Identifiers 3

Medicare UPING77440NC
Medicare PIN2260482ANC
Medicaid8911570NC

Accepted 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

Andrea S Lukes 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 ID6608969456
PECOS Enrollment IDI20070910000731
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

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27713 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

91.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.09
Promoting Interoperability100
Improvement Activities40
Cost80.24

Reported Quality Measures

Breast Cancer Screening
66%194 patients3/55-star benchmark: 93%
Cervical Cancer Screening
83%496 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
18%60 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
60%269 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
53%34 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
48%21 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%877 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
49%572 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
39%787 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 489 patients
0%489 patients
Provide Patients Electronic Access to Their Health Information
99%224 patients4/55-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.

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.

Dentist (Pediatric Dentistry)
249 E NC HIGHWAY 54, SUITE 300
DURHAM, NC 27713
Obstetrics & Gynecology (Gynecology)
249 E NC HIGHWAY 54, SUITE 330
DURHAM, NC 27713
Counselor (Professional)
249 E NC HIGHWAY 54, SUITE 320
DURHAM, NC 27713
Durable Medical Equipment & Medical Supplies
249 E NC HIGHWAY 54
DURHAM, NC 27713
Social Worker (Clinical)
249 E NC HIGHWAY 54
DURHAM, NC 27713
Clinical Medical Laboratory
249 E NC HIGHWAY 54, SUITE 310
DURHAM, NC 27713
Social Worker (Clinical)
249 E NC HIGHWAY 54, STE 320
DURHAM, NC 27713
Counselor
249 E NC HIGHWAY 54, SUITE 320
DURHAM, NC 27713

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 Andrea Lukes's NPI number?

The NPI number for Andrea Lukes is 1669556718. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Andrea Lukes located?

Andrea Lukes practices at 249 E Nc Highway 54 Suite 330, Durham, NC 27713. The listed phone number is (919) 251-9223.

What is Andrea Lukes's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Andrea Lukes enrolled in Medicare?

Yes. Andrea Lukes 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 Andrea Lukes accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Andrea Lukes 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 Andrea Lukes was last updated on March 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.