PATRICIA D. LUCKEROTH M.D.
NPI 1932252970
Surgery in Salem, OR

Q: What is Patricia Luckeroth's NPI number?

The NPI number for Patricia Luckeroth is 1932252970. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Q: What is Patricia Luckeroth's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since January 22, 2007PECOS EnrolledAccepts Medicare Assignment

665 WINTER ST SE, SALEM, OR 97301(503) 561-2448 Get Directions Write a Review

NPPES record last updated: January 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Patricia D. Luckeroth M.d. NPPES

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

PATRICIA D. LUCKEROTH M.D. (NPI 1932252970) is an individual surgery provider in Salem, Oregon, licensed in Oregon (MD175434) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Medical Center, and is a graduate of Tufts University School Of Medicine (2005).

NPPES Registry Identity

NPI1932252970

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NamePATRICIA D. LUCKEROTHCredential: M.D.

Location Address665 WINTER ST SESalem, OR 97301-3934

Mailing AddressPo Box 13129Salem, OR 97309-1129

Phone(503) 561-2448

Sole ProprietorNo

Medical School CMSTufts University School Of MedicineGraduated 2005

Enumeration DateJanuary 22, 2007

Last NPPES UpdateJanuary 11, 2019

✔ NPI 1932252970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in OR · MD175434✔ Licensed in MA · 225417

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Surgery of the HandTaxonomy 2086S0105X · License A116738 (CA)

665 WINTER ST SE, Salem, OR 97301

Open in Google Maps ↗

Accepted Insurance

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

Patricia D. Luckeroth 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 ID7517136849

PECOS Enrollment IDI20160322002540

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 5

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 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.

32 services32 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

28 services28 patients

Partial removal of breast 19301

A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.

18 services16 patients

Imaging of lymph nodes during surgery 38900

Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.

14 services14 patients

Biopsy or removal of deep lymph nodes of underarm 38525

A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Good Samaritan Regional Medical Center

Acute Care Hospitals · Corvallis, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380014

Location3600 NW Samaritan DriveCorvallis, OR 97330 · Benton County

Emergency services Birthing friendly

Salem Hospital

Acute Care Hospitals · Salem, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380051

Location890 Oak Street, SESalem, OR 97301 · Marion County

Emergency services Birthing friendly

West Valley Hospital

Critical Access Hospitals · Dallas, OR

OwnershipVoluntary non-profit - Private

CMS Certification Number381308

Location525 SE Washington StreetDallas, OR 97338 · Polk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97301 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

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.

PACIFIC PATHOLOGY ASSOCIATES, INC

Pathology (Anatomic Pathology & Clinical Pathology)

665 WINTER ST SE
SALEM, OR 97301

Marion County (503) 561-5350

DR. CHARLES WILSON MD

Emergency Medicine

665 WINTER ST SE
SALEM, OR 97301

Marion County (503) 561-5634

JIYOUN E KIM MD

Surgery

665 WINTER ST SE
SALEM, OR 97301

Marion County (503) 561-2448

DR. LAZENI KOULIBALI D.O.

Emergency Medicine

665 WINTER ST SE
SALEM, OR 97301

Marion County (503) 561-5634

COURTNEY E BROZOVICH PAC

Physician Assistant

665 WINTER ST SE
SALEM, OR 97301

Marion County (503) 541-2448

JAMES ERNEST DEVORSS MD

Internal Medicine (Cardiovascular Disease)

665 WINTER ST SE, SALEM HOSPITAL
SALEM, OR 97301

Marion County (503) 399-0811

MICHAEL BARR M.D.

Emergency Medicine

665 WINTER ST SE
SALEM, OR 97301

Marion County (503) 561-5634

SALEM HOSPITAL

General Acute Care Hospital (Children)

665 WINTER ST SE, FAMILY BIRTH CENTER 3RD FLOOR NEONATAL INTENSIVE CARE
SALEM, OR 97301

Marion County (503) 562-5660

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 Patricia Luckeroth's NPI number?

The NPI number for Patricia Luckeroth is 1932252970. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Patricia Luckeroth located?

Patricia Luckeroth practices at 665 Winter St SE, Salem, OR 97301. The listed phone number is (503) 561-2448.

What is Patricia Luckeroth's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Patricia Luckeroth enrolled in Medicare?

Yes. Patricia Luckeroth 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 Patricia Luckeroth accept?

Health plans from Kaiser Permanente, Moda Health Plan, Inc. and Providence Health Plan list Patricia Luckeroth 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 Patricia Luckeroth affiliated with any hospitals?

According to CMS data, Patricia Luckeroth is affiliated with Good Samaritan Regional Medical Center, Salem Hospital and West Valley Hospital.

When was this NPI record last updated?

The NPPES record for Patricia Luckeroth was last updated on January 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.