DR. ROBERTO BORRERO LUGO M.D.
NPI 1093164949
Internal Medicine in South Pasadena, FL

Active since June 10, 2016PECOS EnrolledAccepts Medicare Assignment
90.84/100
CMS Quality Rating
1615 PASADENA AVE S STE 350, SOUTH PASADENA, FL 33707(727) 345-6337(727) 347-0403 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 20, 2023, Sep 19, 2019 (2 updates tracked since 2019).

About Dr. Roberto Borrero Lugo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERTO BORRERO LUGO M.D. (NPI 1093164949) is an individual internal medicine provider in South Pasadena, Florida, licensed in Florida (ME141140) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1093164949
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ROBERTO BORRERO LUGOCredential: M.D.
Location Address1615 PASADENA AVE S STE 350South Pasadena, FL 33707-4521
Mailing Address330 3rd St S Unit 522St Petersburg, FL 33701-4260 · (850) 832-3099
Fax(727) 347-0403
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 10, 2016
Last NPPES UpdateFebruary 20, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2023
✔ NPI 1093164949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME141140
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1615 PASADENA AVE S STE 350, South Pasadena, FL 33707

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Roberto Borrero Lugo M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810228582
PECOS Enrollment IDI20191010000575
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Roberto Borrero Lugo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
7035 1ST AVE S
Saint Petersburg, FL 33707
  • Reassigned Medicare billing, Florida enrollment
Family Medicine
6321 DANIELS PKWY
Fort Myers, FL 33912
  • Reassigned Medicare billing, Florida enrollment
  • 1,278 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
61 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roberto Borrero Lugo's NPI number?

The NPI number for Roberto Borrero Lugo is 1093164949. It was assigned to this individual provider in the NPPES registry on June 10, 2016.

Where is Roberto Borrero Lugo located?

Roberto Borrero Lugo practices at 1615 Pasadena Ave S Ste 350, South Pasadena, FL 33707. The listed phone number is (727) 345-6337.

What is Roberto Borrero Lugo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Roberto Borrero Lugo enrolled in Medicare?

Yes. Roberto Borrero Lugo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Roberto Borrero Lugo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roberto Borrero Lugo reassigns Medicare benefits to 2 organizations: Verimed Health Group Pasadena, LLC (Saint Petersburg, FL) and Millennium Physician Group LLC (Fort Myers, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roberto Borrero Lugo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roberto Borrero Lugo accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Roberto Borrero Lugo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roberto Borrero Lugo was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.