DR. GARY J LUCKASEN (M.D.) – Cardiovascular Disease Physician, NPI 1063418572
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. GARY J LUCKASEN (M.D.)
2121, East Harmony Road, Fort Collins, Larimer County, Colorado, 80528-9599, United States
SUITE 100
FORT COLLINS, CO 805283400
Phone: (970) 221-1000
Fax: (970) 297-6860
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-06-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070326000050 | I | Cardiovascular Disease (Cardiology) | CO | TBD |
| I20100601000559 | I | Cardiovascular Disease (Cardiology) | NE | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80528)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| - | CO | |
| - | CO | |
| - | MO | |
| O T O L A R Y N G O L O G Y | CO | |
| Physician Assistant | CO | |
| - | CO | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO |
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