DR. LUKE E. PATRICK PH.D.
NPI 1821025495
Psychologist - Exercise & Sports in Portland, OR

Q: What is Luke Patrick's NPI number?

The NPI number for Luke Patrick is 1821025495. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Q: What is Luke Patrick's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Exercise & Sports, with taxonomy code 103TE1100X.

Q: Is Luke Patrick enrolled in Medicare?

No. Luke Patrick has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Luke Patrick was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since June 27, 2006Opted out of Medicare · through Jan 1, 2027

12250 SW GARDEN PL, PORTLAND, OR 97223(503) 684-7246(503) 624-0724 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Luke E. Patrick Ph.d. NPPES

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

DR. LUKE E. PATRICK PH.D. (NPI 1821025495) is an individual exercise & sports provider in Portland, Oregon, licensed in Oregon (1491) and active in the NPI registry since June 2006. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1821025495

Entity TypeIndividualMale

Primary Taxonomy103TE1100X

Provider Legal NameDR. LUKE E. PATRICKCredential: PH.D.

Location Address12250 SW GARDEN PLPortland, OR 97223-8246

Mailing Address5739 Sw Texas StPortland, OR 97219-1257 · (503) 452-4179

Phone(503) 684-7246

Fax(503) 624-0724

Sole ProprietorNo

Enumeration DateJune 27, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1821025495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Exercise & SportsBehavioral Health & Social Service Providers

Taxonomy Code103TE1100X

License✔ Licensed in OR · 1491

Definition

A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists.

Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X · License 1491 (OR)

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Luke E. Patrick Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2017 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2017

Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

NW OCCUPATIONAL MEDICINE CENTER

Clinic/Center (Multi-Specialty)

12250 SW GARDEN PL
PORTLAND, OR 97223

Washington County (503) 684-7246

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 Patrick's NPI number?

The NPI number for Luke Patrick is 1821025495. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Luke Patrick located?

Luke Patrick practices at 12250 SW Garden Pl, Portland, OR 97223. The listed phone number is (503) 684-7246.

What is Luke Patrick's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Exercise & Sports, with taxonomy code 103TE1100X.

Is Luke Patrick enrolled in Medicare?

No. Luke Patrick has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Luke Patrick accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Luke Patrick 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 Luke Patrick was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.