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DARLENE S LUTCHKA MD
NPI 1760429146
Family Medicine in Carbondale, IL

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
400 S LEWIS LANE, CARBONDALE, IL 62901(618) 519-9900(518) 519-9901 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Darlene S Lutchka Md NPPES

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

DARLENE S LUTCHKA MD (NPI 1760429146) is an individual family medicine provider in Carbondale, Illinois, licensed in Illinois (036112428) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2002).

NPPES Registry Identity

NPI1760429146
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDARLENE S LUTCHKACredential: MD
Location Address400 S LEWIS LANECarbondale, IL 62901-1409
Mailing AddressPo Box 577Carterville, IL 62918-0577 · (618) 985-8221 · Fax (618) 985-6860
Phone(618) 519-9900
Fax(518) 519-9901
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2002
Enumeration DateJune 2, 2006
Last NPPES UpdateDecember 11, 2020
NPPES CertifiedDecember 11, 2020
✔ NPI 1760429146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036112428
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.
400 S LEWIS LANE, Carbondale, IL 62901
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Other Identifiers 3

Medicaid370966854017IL
Medicaid036112428IL
OtherCF3444IL · Medicare Railroad Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Darlene S Lutchka Md 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 ID5092749952
PECOS Enrollment IDI20050921000342
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

St Joseph Memorial Hospital

Critical Access Hospitals · Murphysboro, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141334
Location2 South Hospital DriveMurphysboro, IL 62966 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
81%345 patients4/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
72%474 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
53%142 patients3/55-star benchmark: 100%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
50%886 patients3/55-star benchmark: 88%
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 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers30 claims112 services$6.14 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers13 claims28 services$1.17 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers13 claims66 services$2.35 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier17 claims17 services$16.51 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$4.73 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims20 services$87.32 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

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

AARON NEWCOMB DO
Family Medicine
400 S LEWIS LANE
CARBONDALE, IL 62901
Jackson County (618) 519-9900

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 Darlene Lutchka's NPI number?

The NPI number for Darlene Lutchka is 1760429146. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Darlene Lutchka located?

Darlene Lutchka practices at 400 S Lewis Lane, Carbondale, IL 62901. The listed phone number is (618) 519-9900.

What is Darlene Lutchka's specialty?

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

Is Darlene Lutchka enrolled in Medicare?

Yes. Darlene Lutchka 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 Darlene Lutchka accept?

Health plans from UnitedHealthcare list Darlene Lutchka 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.

Is Darlene Lutchka affiliated with any hospitals?

According to CMS data, Darlene Lutchka is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale and St Joseph Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Darlene Lutchka was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.