GARY S LUCKMAN (MD) – Gastroenterology Physician, NPI 1225001472

GARY S LUCKMAN (MD) is a healthcare provider. based in Fort wayne, Indiana. specializing in INTERNAL MEDICINE, GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. ME0016181 (FL). The NPI Number for GARY S LUCKMAN (MD) is 1225001472

Main info

Male
57 Years Of Experience
Accepts Medicare Assignment
Name
GARY S LUCKMAN (MD)
NPI
1225001472
Phone
(260) 266-5230
Address
11104 Parkview Circle Dr Ste 310
Enumeration Date
8 February 2006
Last Update Date
2 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2604256030
Graduation Year
1969 (57 years ago)
PAC ID
3173592995
Group Practice PAC ID
2163336967
Professional Enrollment ID
I20250422002897
Address ID
IN468054638FO2200XDRXX300

Contacts

Secure Messaging
gluckman675325@Direct.Parkviewexchange.com
FHIR Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
FHIR Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

3,511 INTERNAL MEDICINE in IN

Provider Addresses for GARY S LUCKMAN (MD)

  • 11104 Parkview Circle Dr Ste 310

    Fort Wayne, IN 468451733

    Phone: (260) 266-5230

    Fax: (260) 458-5972

    Type: Location

  • 8329, West Sunrise Boulevard, Plantation, Broward County, Florida, 33322, United States

    PLANTATION, FL 333225405

    Phone: (954) 627-1617

    Fax: (954) 474-3489

    Type: Location

  • 9500 S DADELAND BLVD STE 200

    MIAMI, FL 331562866

    Phone: (786) 530-3820

    Fax: (305) 675-3378

    Type: Mailing

  • North University Drive, Coral Springs, Broward County, Florida, 33065, United States

    CORAL SPRINGS, FL 330674639

    Phone: (954) 344-2522

    Fax: (954) 344-9189

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 92 Open Payments records for all available years, with a total value of $1,979.

Total Amount is formed as General ($1,979) + Research ($0) + Ownership ($0) = $1,979.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Biotech, Inc. ($443).

Total Amount

$1,979

General + Research + Ownership

Payments

92

Total payment records

General Amount

$1,979

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2025-04-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070118000014IGastroenterologyFLTBD
I20250422002897IGastroenterologyINTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes246129$0
36415Insertion of needle into vein for collection of blood sample189102$0
99213Established patient office or other outpatient visit, 20-29 minutes8772$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2221$0
G0105Colorectal cancer screening; colonoscopy on individual at high risk2222$0
View full utilization report →

Insurance plans in this area (ZIP 46845)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163336967View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerNM
-IN
Nurse PractitionerIN
Family PracticeIN
-IN
-IN
Infectious DiseaseIN
Internal MedicineIN
-IN

Reviews

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Frequently asked questions

What identifier follows GARY S LUCKMAN (MD) across health systems?
The NPI 1225001472 uniquely identifies GARY S LUCKMAN (MD) in U.S. healthcare data.
Should I treat GARY S LUCKMAN (MD) as an active provider?
Patients and plans typically see GARY S LUCKMAN (MD) as active in the national extract.
Which specialty label fits GARY S LUCKMAN (MD)?
NPPES ties GARY S LUCKMAN (MD) to Gastroenterology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to GARY S LUCKMAN (MD)?
The directory associates GARY S LUCKMAN (MD) with Fort Wayne, Indiana. Check all listed addresses for suites or satellite offices.
Can I export GARY S LUCKMAN (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.