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MALLORY NOELLE LUCKEY M.D.
NPI 1770932170
Psychiatry & Neurology - Neurology in Banner Elk, NC

Active since June 07, 2016PECOS EnrolledAccepts Medicare Assignment
640 PUDDINGSTONE PKWY, BANNER ELK, NC 28604(864) 237-4021(864) 778-8417 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 4, 2024, Aug 29, 2023, May 25, 2023 and 2 more (5 updates tracked since 2022).

About Mallory Noelle Luckey M.d. NPPES

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

MALLORY NOELLE LUCKEY M.D. (NPI 1770932170) is an individual neurology provider in Banner Elk, North Carolina, licensed in New York (302609) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Lincoln Medical & Mental Health Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1770932170
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameMALLORY NOELLE LUCKEYCredential: M.D.
Location Address640 PUDDINGSTONE PKWYBanner Elk, NC 28604-7418
Mailing Address640 Puddingstone PkwyBanner Elk, NC 28604-7418 · (864) 237-4021 · Fax (864) 778-8417
Phone(864) 237-4021
Fax(864) 778-8417
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 7, 2016
Last NPPES UpdateApril 4, 20245 updates tracked since enumeration
NPPES CertifiedApril 4, 2024
✔ NPI 1770932170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in NY · 302609✔ Licensed in NC · 2022-01271✔ Licensed in FL · ME159060✔ Licensed in MO · 2023006973✔ Licensed in OR · MD214178
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedInternal MedicineTaxonomy 207R00000X · License LL39661 (SC)
640 PUDDINGSTONE PKWY, Banner Elk, NC 28604
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Secondary Practice Locations 2

Location 111215 Metro Pkwy Ste 1Fort Myers, FL 33966-1206 · Phone (239) 208-2212
Location 22790 Clay Edwards Dr Ste 1235North Kansas City, MO 64116-3276 · Phone (816) 472-5157 · Fax (816) 472-7201

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, CareSource, Molina Healthcare and more.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

Mallory Noelle Luckey 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 ID4183902356
PECOS Enrollment IDI20210126002565
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.

Medicare Billing Reassignments

11

Medicare enrollment records show Mallory Luckey reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Piedmont Athens Hospitalist Physicians LLC
217 mi
Internal Medicine
35 COLLIER RD NW STE 635
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 410 clinicians in this Medicare group
NPI 1578079000 (404) 367-3014
Piedmont Hospitalist Physicians LLC
227 mi
Family Medicine
1133 EAGLES LANDING PKWY
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 792 clinicians in this Medicare group
NPI 1548219660 (770) 801-2500
Upson County Hospital Inc
266 mi
General Acute Care Hospital
801 W GORDON ST
Thomaston, GA 30286
  • Reassigned Medicare billing, Georgia enrollment
  • 62 clinicians in this Medicare group
NPI 1659376630 (706) 647-8111
Icahn School Of Medicine At Mount Sinai
534 mi
Neurological Surgery
5 EAST 98 STREET 7TH FLOOR
Newyork, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 233 clinicians in this Medicare group
NPI 1558627844 (212) 241-4572
Icahn School Of Medicine At Mount Sinai
535 mi
Urgent Care
7901 BROADWAY RM A1-19
Elmhurst, NY 11373
  • Reassigned Medicare billing, New York enrollment
  • 836 clinicians in this Medicare group
NPI 1346721289 (718) 334-4816
Physician Affiliate Group Of New York PC
536 mi
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
NPI 1013375526 (212) 939-2467
Mercy Medical Center
542 mi
Psychiatric Unit
1000 N. VILLAGE AVENUE
Rockville Centre, NY 11571
  • Reassigned Medicare billing, New York enrollment
  • 266 clinicians in this Medicare group
NPI 1487698544 (516) 705-2525
St. Joseph Hospital
553 mi
Specialist
4295 HEMPSTEAD TPKE
Bethpage, NY 11714
  • Reassigned Medicare billing, New York enrollment
  • 211 clinicians in this Medicare group
NPI 1881799153 (516) 338-5300
Good Samaritan Hospital Medical Center
560 mi
General Acute Care Hospital
1000 MONTAUK HWY
West Islip, NY 11795
  • Reassigned Medicare billing, New York enrollment
  • 395 clinicians in this Medicare group
NPI 1902865355 (631) 376-3000
St. Catherine Of Siena Medical Center
569 mi
General Acute Care Hospital
50 ROUTE 25A
Smithtown, NY 11787
  • Reassigned Medicare billing, New York enrollment
  • 194 clinicians in this Medicare group
NPI 1154764819 (631) 862-3000

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 6

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
26 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 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.
16 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Lincoln Medical & Mental Health Center

Acute Care Hospitals · Bronx, NY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330080
Location234 East 149th StreetBronx, NY 10451 · Bronx County
Emergency services Birthing friendly

Elmhurst Hospital Center

Acute Care Hospitals · Elmhurst, NY
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330128
Location79-01 BroadwayElmhurst, NY 11373 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28604 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
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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 Mallory Luckey's NPI number?

The NPI number for Mallory Luckey is 1770932170. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Where is Mallory Luckey located?

Mallory Luckey practices at 640 Puddingstone Pkwy, Banner Elk, NC 28604. The listed phone number is (864) 237-4021.

What is Mallory Luckey's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Mallory Luckey enrolled in Medicare?

Yes. Mallory Luckey 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 Mallory Luckey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Luckey reassigns Medicare benefits to 11 organizations: Piedmont Athens Hospitalist Physicians LLC (Atlanta, GA), Piedmont Hospitalist Physicians LLC (Stockbridge, GA), Upson County Hospital Inc (Thomaston, GA), Icahn School Of Medicine At Mount Sinai (Newyork, NY), Icahn School Of Medicine At Mount Sinai (Elmhurst, NY) and 6 more organizations, listed in the Medicare section above. 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 Mallory Luckey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mallory Luckey accept?

Health plans from Blue Cross and Blue Shield of Kansas City, CareSource, Molina Healthcare and Taro Health list Mallory Luckey 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 Mallory Luckey affiliated with any hospitals?

According to CMS data, Mallory Luckey is affiliated with Lincoln Medical & Mental Health Center and Elmhurst Hospital Center.

When was this NPI record last updated?

The NPPES record for Mallory Luckey was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.