LUKE A PLUTO M.D.
NPI 1851350854
Internal Medicine - Pulmonary Disease in South Portland, ME

Active since March 20, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
100 FODEN RD STE 103, SOUTH PORTLAND, ME 04106(207) 828-1122(207) 828-0188 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2021, Sep 10, 2021 (2 updates tracked since 2021).

About Luke A Pluto M.d. NPPES

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

LUKE A PLUTO M.D. (NPI 1851350854) is an individual pulmonary disease provider in South Portland, Maine, licensed in Maine (MD22294) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Albany, and is a graduate of Northwestern University Feinberg Medical School (1980).

NPPES Registry Identity

NPI1851350854
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameLUKE A PLUTOCredential: M.D.
Location Address100 FODEN RD STE 103South Portland, ME 04106-2327
Mailing Address100 Foden Rd Ste 103South Portland, ME 04106-2327 · (207) 828-1122 · Fax (207) 828-0188
Fax(207) 828-0188
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1980
Enumeration DateMarch 20, 2006
Last NPPES UpdateOctober 19, 20212 updates tracked since enumeration
NPPES CertifiedOctober 19, 2021
NPI 1851350854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in ME · MD22294 Licensed in WA · MD00034724 Licensed in ID · M-7228
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD00034724 (WA), M-7228 (ID)
100 FODEN RD STE 103, South Portland, ME 04106

Secondary Practice Location 1

Location 147 New Scotland Ave, MC 91Albany, NY 12208-3412 · Phone (518) 262-5196 · Fax (518) 262-6472

Other Identifiers 4

Medicaid804124700ID
OtherP00367294Railroad Medicare
Medicaid1123389WA
Other0215165WA · Labor & Industries

Accepted 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 A Pluto 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 ID9638118714
PECOS Enrollment IDI20180807002624
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 3

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.

Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
62 services61 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
43 services43 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
35 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04106 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
27 suppliers348 claims348 services$36.94 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
22 suppliers166 claims166 services$90.30 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
20 suppliers169 claims437 services$33.63 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
19 suppliers148 claims832 services$18.34 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
11 suppliers89 claims508 services$15.36 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
25 suppliers254 claims254 services$54.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Pediatrics (Pediatric Pulmonology)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Critical Care Medicine)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Nurse Practitioner (Adult Health)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106
Internal Medicine (Pulmonary Disease)
100 FODEN RD STE 103
SOUTH PORTLAND, ME 04106

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 Pluto's NPI number?

The NPI number for Luke Pluto is 1851350854. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Luke Pluto located?

Luke Pluto practices at 100 Foden Rd Ste 103, South Portland, ME 04106. The listed phone number is (207) 828-1122.

What is Luke Pluto's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Luke Pluto enrolled in Medicare?

Yes. Luke Pluto 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 Pluto accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Luke Pluto 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 Pluto was last updated on October 19, 2021. 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.