MR. MARC LUCKETT M.D.
NPI 1881667608
Obstetrics & Gynecology in Bridgeton, MO

Active since February 10, 2006PECOS EnrolledAccepts Medicare Assignment
12303 DE PAUL DR, BRIDGETON, MO 63044(314) 344-6000 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Marc Luckett M.d. NPPES

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

MR. MARC LUCKETT M.D. (NPI 1881667608) is an individual obstetrics & gynecology provider in Bridgeton, Missouri, licensed in Missouri (2002014395) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1881667608
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMR. MARC LUCKETTCredential: M.D.
Location Address12303 DE PAUL DRBridgeton, MO 63044-2512
Mailing Address12303 De Paul DrBridgeton, MO 63044-2512 · Fax (913) 651-1041
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateFebruary 10, 2006
Last NPPES UpdateMay 1, 2026
NPPES CertifiedMay 1, 2026
✔ NPI 1881667608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in MO · 2002014395✔ Licensed in KS · 04-34430✔ Licensed in IL · 036154158
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
12303 DE PAUL DR, Bridgeton, MO 63044

Secondary Practice Locations 2

Location 11001 6th Ave, Suite 230Leavenworth, KS 66048-3222 · Phone (913) 651-2163 · Fax (913) 651-1041
Location 2701 N 1st StSpringfield, IL 62781-0001 · Phone (217) 528-7541

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

Mr. Marc Luckett 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 ID4587602966
PECOS Enrollment IDI20050418000975, I20211207001957
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

17

Medicare enrollment records show Marc Luckett reassigns Medicare billing to 17 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
3312 ASHBY RD
Saint Ann, MO 63074
  • Reassigned Medicare billing, Missouri enrollment
  • 41 clinicians in this Medicare group
Clinical Medical Laboratory
6 PARK PL
Swansea, IL 62226
  • Reassigned Medicare billing, Illinois enrollment
  • 52 clinicians in this Medicare group
Rural Health
114 DOWNEY PL
Cuba, MO 65453
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1245277631 (Missouri)
  • 1,487 clinicians in this Medicare group
Multi-Specialty
1025 S 6TH ST
Springfield, IL 62703
  • Reassigned Medicare billing, Illinois enrollment
  • 735 clinicians in this Medicare group
Obstetrics & Gynecology
912 N HENRIETTA ST
Effingham, IL 62401
  • Reassigned Medicare billing, Illinois enrollment
  • 11 clinicians in this Medicare group
Family Medicine
1701 LACEY ST
Cape Girardeau, MO 63701
  • Reassigned Medicare billing, Missouri enrollment
  • 470 clinicians in this Medicare group
Emergency Medicine
2799 N WASHINGTON
Chillicothe, MO 64601
  • Reassigned Medicare billing, Missouri enrollment
  • 201 clinicians in this Medicare group
General Practice
1518 MULBERRY AVENUE
Muscatine, IA 52761
  • Reassigned Medicare billing, Iowa enrollment
  • 1,506 clinicians in this Medicare group
Radiology, Mobile Mammography
4800 E JOHNSON AVE
Jonesboro, AR 72405
  • Reassigned Medicare billing, Arkansas enrollment
  • 439 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63044 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
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 20

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

Radiology (Diagnostic Radiology)
12303 DE PAUL DR, RADIOLOGY DEPT
BRIDGETON, MO 63044
Physical Therapist
12303 DE PAUL DR
BRIDGETON, MO 63044
Nurse Practitioner (Adult Health)
12303 DE PAUL DR
BRIDGETON, MO 63044
Physical Therapist
12303 DE PAUL DR
BRIDGETON, MO 63044
Hospitalist
12303 DE PAUL DR
BRIDGETON, MO 63044
Internal Medicine (Critical Care Medicine)
12303 DE PAUL DR
BRIDGETON, MO 63044
Psychiatric Unit
12303 DE PAUL DR
BRIDGETON, MO 63044
Emergency Medicine
12303 DE PAUL DR
BRIDGETON, MO 63044

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 Marc Luckett's NPI number?

The NPI number for Marc Luckett is 1881667608. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Marc Luckett located?

Marc Luckett practices at 12303 De Paul Dr, Bridgeton, MO 63044. The listed phone number is (314) 344-6000.

What is Marc Luckett's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Marc Luckett enrolled in Medicare?

Yes. Marc Luckett 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 Marc Luckett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Luckett reassigns Medicare benefits to 17 organizations: Ssm Health Care St. Louis (Bridgeton, MO), Carestl Health (Saint Ann, MO), Heartland Women's Healthcare Ltd (Swansea, IL), Mercy Clinic Springfield Communities (Cuba, MO), Springfield Clinic, LLP (Springfield, IL) and 12 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 Marc Luckett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Luckett accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Health Advantage and Medica and 4 other insurers list Marc Luckett 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 Marc Luckett was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.