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LUKE SUGDEN DO
NPI 1760972780
Family Medicine in Twin Falls, ID

Active since May 15, 2018PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
738 N COLLEGE RD STE C, TWIN FALLS, ID 83301(208) 814-5075 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2022, Jun 23, 2021, May 15, 2018 (3 updates tracked since 2018).

About Luke Sugden Do NPPES

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

LUKE SUGDEN DO (NPI 1760972780) is an individual family medicine provider in Twin Falls, Idaho, licensed in Idaho (O-1319) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and maintains a secondary practice location in Billings.

NPPES Registry Identity

NPI1760972780
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLUKE SUGDENCredential: DO
Location Address738 N COLLEGE RD STE CTwin Falls, ID 83301-3387
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 814-5075
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 15, 2018
Last NPPES UpdateMay 23, 20223 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
✔ NPI 1760972780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in ID · O-1319✔ Licensed in MT · 96914✔ Licensed in ID · MRO-1730
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.
738 N COLLEGE RD STE C, Twin Falls, ID 83301
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Secondary Practice Location 1

Location 1123 S 27th StBillings, MT 59101-4227 · Phone (406) 247-3350 · Fax (064) 247-3389

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.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

Luke Sugden Do 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 ID5991053498
PECOS Enrollment IDI20220601002032
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 8

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.

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
118 services71 patients
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.
102 services84 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
73 services52 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services48 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
26 services24 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
22 services17 patients

Hospital Affiliations CMS Care Compare 2

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

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130002
Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County
Emergency services Birthing friendly

St Luke's Jerome

Critical Access Hospitals · Jerome, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131310
Location709 North Lincoln AvenueJerome, ID 83338 · Jerome County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83301 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.58
Promoting Interoperability100
Improvement Activities40
Cost47.94

Other Providers at the Same Location NPPES 2

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

DELANEY BERGEN ATC, LAT
Orthopaedic Surgery (Sports Medicine)
738 N COLLEGE RD STE C
TWIN FALLS, ID 83301
Twin Falls County (208) 316-5454
ALEXANDRIA PYLE MHA, LAT, ATC
Specialist/Technologist (Athletic Trainer)
738 N COLLEGE RD STE C
TWIN FALLS, ID 83301
Twin Falls County (208) 814-5075

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 Sugden's NPI number?

The NPI number for Luke Sugden is 1760972780. It was assigned to this individual provider in the NPPES registry on May 15, 2018.

Where is Luke Sugden located?

Luke Sugden practices at 738 N College Rd Ste C, Twin Falls, ID 83301. The listed phone number is (208) 814-5075.

What is Luke Sugden's specialty?

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

Is Luke Sugden enrolled in Medicare?

Yes. Luke Sugden 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 Luke Sugden accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Luke Sugden 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 Luke Sugden affiliated with any hospitals?

According to CMS data, Luke Sugden is affiliated with St Lukes Magic Valley Medical Center and St Luke's Jerome.

When was this NPI record last updated?

The NPPES record for Luke Sugden was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.