LUKE H. DEGRAAFF MD
NPI 1205457009
Surgery - Vascular Surgery in Salt Lake City, UT
NPI Status: Active since May 03, 2020
Contact Information
30 N MARIO CAPECCHI DR RM 4S100
SALT LAKE CITY, UT
ZIP 84112
Phone: (801) 581-2121
- Individual
- Male
- Surgery
- Vascular Surgery
- PECOS Enrolled
About LUKE DEGRAAFF
This page provides the complete NPI Profile along with additional information for Luke Degraaff, a provider established in Salt Lake City, Utah with a medical specialization in Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1205457009 assigned on May 2020. The practitioner's primary taxonomy code is 2086S0129X with license number 14213038-1205 (UT). The provider is registered as an individual and his NPI record was last updated April 2025.
- NPI
- 1205457009
- Provider Name
- LUKE H. DEGRAAFF MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112
- Location Phone
- (801) 581-2121
- Mailing Address
- 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112
- Mailing Phone
- (801) 581-2121
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-03-2020
- Last Update Date
- 04-23-2025
- Code Navigator
Location Map
Secondary Locations
- 13400 E Shea Blvd
Scottsdale, AZ 85259
(480) 301-8000
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Vascular Surgery
- Taxonomy Code
- 2086S0129X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 14213038-1205
- License State
- UT
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
Luke Degraaff is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 84112 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.41
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.03
- Average New Patient Copayment $21.1
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.5
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.01
- Minimum Established Patient Price $17.23
- Maximum Established Patient Price $135.2
- Average Established Patient Copayment $17
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.8
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 0 | 5 | 4 | 5 | 7 | 0 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 8 | 5 | 14 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 8 + 5 + 1 + 4 + 0 + 0 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1205457009 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023768686 | MARISOL Z. MONZON MD Individual | Surgery | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1093448607 | EVAN A. CROCKETT MD Individual | Urology | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1396493912 | DEVON M. LANGSTON MD Individual | Urology | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1427622380 | WILLIAM C. STARR MD Individual | Surgery | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1548910110 | JESSICA K. HALL MD Individual | Surgery | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1912655739 | LINDSEY N. WRIGHT MD Individual | Urology | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1356090658 | AMIR TEIMOURI DERESHGI MD Individual | Surgery | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1801455209 | JESSICA S MAGARINOS MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1013476258 | ALEXANDER SCHURMAN Individual | Surgery (Vascular Surgery) | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1497319537 | BRIAN PATRICK WISEMAN MD Individual | Urology (Pediatric Urology) | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1831621655 | RACHAEL ESSIG MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1518545029 | ANASTASIA KAHAN MD Individual | Surgery (Pediatric Surgery) | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1053015370 | DR. NEEL D. BHAGAT MD Individual | Plastic Surgery | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1972206985 | TAYLOR R. BEAVER MD Individual | Surgery | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1073216768 | KENNEDY E JENSEN MD Individual | Surgery | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1073256913 | PHOEBE L. LEE MD Individual | Plastic Surgery | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1659074557 | MICHAL SCHAFER MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1154024974 | MARSHALL W. WALLACE MD Individual | Surgery | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1285052860 | PAUL WINOGRAD M.D. Individual | Surgery (Plastic and Reconstructive Surgery) | 30 N MARIO CAPECCHI DR RM 4S100 5TH FLOOR SALT LAKE CITY, UT 84112 (801) 581-2121 |
| 1023635679 | JOCELYN DI NOLFI M.D. Individual | Colon & Rectal Surgery | 30 N MARIO CAPECCHI DR RM 4S100 SALT LAKE CITY, UT 84112 (801) 581-2121 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205457009, enumerated in the NPI registry as an "individual" on May 03, 2020
The provider is located at 30 N Mario Capecchi Dr Rm 4s100 Salt Lake City, Ut 84112 and the phone number is (801) 581-2121
The provider's speciality is Surgery with taxonomy code 2086S0129X with a focus in Vascular Surgery
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.41 with an average copayment of $21.1 for new patient appointments. Established patients should expect a typical charge of $68.01 and an average copayment of 17. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on May 03, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.