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DR. LUKE MCCRONE MD
NPI 1831457779
Internal Medicine - Gastroenterology in Petoskey, MI

Active since April 29, 2012PECOS EnrolledAccepts Medicare Assignment
560 W MITCHELL ST STE M40, PETOSKEY, MI 49770(231) 487-2391(231) 487-6513 Get Directions Write a Review

NPPES record last updated: June 25, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Luke Mccrone Md NPPES

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

DR. LUKE MCCRONE MD (NPI 1831457779) is an individual gastroenterology provider in Petoskey, Michigan, licensed in Michigan (4301114164) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Alpena, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1831457779
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. LUKE MCCRONECredential: MD
Location Address560 W MITCHELL ST STE M40Petoskey, MI 49770
Mailing Address560 W Mitchell St Ste M40Petoskey, MI 49770-2278 · (231) 487-2391 · Fax (231) 487-6513
Phone(231) 487-2391
Fax(231) 487-6513
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 29, 2012
Last NPPES UpdateJune 25, 2018
✔ NPI 1831457779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MI · 4301114164
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
560 W MITCHELL ST STE M40, Petoskey, MI 49770
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Other Identifiers 1

Medicaid1831457779MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Luke Mccrone 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 ID4981841657
PECOS Enrollment IDI20180703002547
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 11

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
133 services128 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
109 services109 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
80 services79 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.
53 services52 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
42 services41 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
25 services24 patients

Hospital Affiliations CMS Care Compare 5

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

Mymichigan Medical Center Alpena

Acute Care Hospitals · Alpena, MI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number230036
Location1501 W Chisholm StAlpena, MI 49707 · Alpena County
Emergency services Birthing friendly

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230105
Location416 Connable AvePetoskey, MI 49770 · Emmet County
Emergency services Birthing friendly

Munson Healthcare Otsego Memorial Hospital

Acute Care Hospitals · Gaylord, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230133
Location825 N Center AveGaylord, MI 49735 · Otsego County
Birthing friendly

Chippewa County War Memorial Hospital

Acute Care Hospitals · Sault Sainte Marie, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230239
Location500 Osborn BlvdSault Sainte Marie, MI 49783 · Chippewa County
Emergency services Birthing friendly

Mackinac Straits Hospital And Health Center

Critical Access Hospitals · Saint Ignace, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231306
Location1140 N State StreetSaint Ignace, MI 49781 · Mackinac County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49770 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

ALISSA GRACY
Nurse Practitioner (Acute Care)
560 W MITCHELL ST STE M40
PETOSKEY, MI 49770
Emmet County (231) 487-2391
DR. JOSEPH GORDON EDELSON MD
Internal Medicine (Gastroenterology)
560 W MITCHELL ST STE M40
PETOSKEY, MI 49770
Emmet County (231) 487-3637

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 Mccrone's NPI number?

The NPI number for Luke Mccrone is 1831457779. It was assigned to this individual provider in the NPPES registry on April 29, 2012.

Where is Luke Mccrone located?

Luke Mccrone practices at 560 W Mitchell St Ste M40, Petoskey, MI 49770. The listed phone number is (231) 487-2391.

What is Luke Mccrone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Luke Mccrone enrolled in Medicare?

Yes. Luke Mccrone 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 Mccrone accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Luke Mccrone 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 Mccrone affiliated with any hospitals?

According to CMS data, Luke Mccrone is affiliated with Mymichigan Medical Center Alpena, Mclaren Northern Michigan, Munson Healthcare Otsego Memorial Hospital, Chippewa County War Memorial Hospital and Mackinac Straits Hospital And Health Center.

When was this NPI record last updated?

The NPPES record for Luke Mccrone was last updated on June 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.