NPIMap

Individual provider Active NPI

Matthew L Lukens, MD

  • Vascular Surgery Physician
  • Saint Joseph, MO
National Provider Identifier
1932299732
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
2004009702 Issued in MO
Practice address
802 N Riverside Rd
Suite 200
Saint Joseph, MO 64507-9794
Phone
(816) 271-6666
Fax
(816) 271-1300
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 2004009702 MO Primary

Addresses

Primary practice location

802 N Riverside Rd
Suite 200
Saint Joseph, MO 64507-9794

Mailing address

802 N Riverside Rd Ste 200
Saint Joseph, MO 64507-2553
Phone (816) 271-6666

Other identifiers 3

IdentifierTypeStateIssuer
208994400MedicaidMO
P00153146OtherMORR MEDICARE
200264130AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040519000902 MO Practitioner - Vascular Surgery 3779574777 Reassigns benefits to 2 organizations
I20210917001996 KS Practitioner - Vascular Surgery 3779574777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

802 N Riverside Rd
200 Mosaic Life Care
St Joseph, MO 64507-2553
Phone (816) 271-6666

820 Ravenhill Dr
Suite 103
Atchison, KS 66002-9230
Phone (816) 271-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)35
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2004009702MOMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Medical Center - Maryville CurrentSince Jan 13, 2026 Accepting new patients
Heartland Regional Medical Center CurrentSince Jun 12, 2004 Accepting new patients
Mosaic Medical Center - Maryville CurrentSince Jan 13, 2026 Accepting new patients
Mount Carmel Healthproviders Two LLC Vascular Surgery Past Accepting new patients
Mount Carmel Health Providers Two LLC Vascular Surgery Past Accepting new patients
Midwestern Health Management, Inc. Past Accepting new patients
Heartland Regional Medical Center Past Accepting new patients

Locations

2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525

802 N Riverside Rd
Ste 200
Saint Joseph, MO 64507
Phone (816) 271-6666

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1295

Interoperability endpoints

  • Direct secure messaging: matthew.lukens@direct.mymlc.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mosaic Life Care at St Joseph Medical CenterSaint Joseph, MO, CCN 260006 Hospital Corporate Director Jan 1, 2018
Mosaic Life Care Home HealthSaint Joseph, MO, CCN 267064 Home health agency Corporate Director Jan 1, 2018
Mosaic Life Care HospiceSaint Joseph, MO, CCN 261507 Hospice Corporate Director Jan 1, 2018

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1932299732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 N RIVERSIDE RD STE 200",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072553",
            "telephone_number": "816-271-6666",
            "fax_number": "816-271-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N RIVERSIDE RD",
            "address_2": "SUITE 200",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645079794",
            "telephone_number": "816-271-6666",
            "fax_number": "816-271-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKENS",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "2004009702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208994400",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00153146",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200264130A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.