Luke Madigan, MD
NPI 1942259569 · Orthopaedic Surgery Physician · Knoxville, TN
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Luke Madigan, MD is a Orthopaedic Surgery Physician provider in Knoxville, TN (NPI 1942259569).
Provider details
- NPI number
- 1942259569
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 42088 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,161 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 412 | $116 |
| X-Ray of Lower and Sacral Spine, 2-3 Views72100 | 227 | $35 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 196 | $82 |
| X-Ray of Upper Spine, 2-3 Views72040 | 67 | $35 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 64 | $153 |
| Mri Scan of Lower Spinal Canal Without Contrast72148 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methocarbamol | 113 | 56 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 56 | 27 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 51 | 28 |
| Oxycodone Hcl | 42 | 40 |
| Prednisone | 36 | 33 |
| Celecoxib | 34 | 33 |
| Gabapentin |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$114 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-09
- Last updated
- 2026-01-15
- Certified
- 2026-01-15
Frequently asked questions
- What is Luke Madigan's NPI number?
- Luke Madigan's National Provider Identifier (NPI) is 1942259569, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Luke Madigan's specialty?
- Luke Madigan is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Luke Madigan located?
- Luke Madigan's practice location on file with NPPES is 260 Fort Sanders West Blvd, Knoxville, TN 37922-3355.
- What is Luke Madigan's phone number?
- The practice phone number listed in the NPPES registry for Luke Madigan is (865) 769-4500.
- Does Luke Madigan accept Medicare?
- Luke Madigan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Luke Madigan's NPI active?
- Yes — Luke Madigan's NPI (1942259569) is active in the NPPES registry as of the last update on 2026-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.