LUKE SUGDEN DO
NPI 1760972780
Family Medicine in Twin Falls, ID
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
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Luke Sugden reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Twin Falls, ID 83301
- Reassigned Medicare billing, Idaho enrollment
- Medicare enrollment name: St Lukes Clinic LLC
- 322 clinicians in this Medicare group
Mountain Home, ID 83647
- Reassigned Medicare billing, Idaho enrollment
- 1,312 clinicians in this Medicare group
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 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.
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, IDSt Luke's Jerome
Critical Access Hospitals · Jerome, IDPhysician 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.
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.
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.
TWIN FALLS, ID 83301
TWIN FALLS, ID 83301
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.
Which organizations bill Medicare for Luke Sugden's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Luke Sugden reassigns Medicare benefits to 2 organizations: St Luke's Clinic LLC (Twin Falls, ID) and St Lukes Clinic-Treasure Valley LLC (Mountain Home, ID). 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 Sugden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Luke Sugden accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health 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.
# Luke Sugden, DO · NPI 1760972780
Family Medicine physician in Twin Falls, Idaho. Individual provider, active in the CMS NPPES registry since May 15, 2018.
## Identity
- **NPI:** 1760972780 (Entity type: Individual)
- **Enumerated:** May 15, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** O-1319 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 738 N COLLEGE RD STE C, Twin Falls, ID 83301-3387
- **Phone:** (208) 814-5075
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St Luke's Clinic LLC (NPI 1790718229, Twin Falls, ID); St Lukes Clinic-Treasure Valley LLC (NPI 1417297821, Mountain Home, ID) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** May 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1760972780) · Data from the CMS NPPES public registry.