DR. LEILA MARTINEZ RUBIO MD
NPI 1194253948
Family Medicine in Sweetwater, TX

Q: What is Leila Rubio's NPI number?

The NPI number for Leila Rubio is 1194253948. It was assigned to this individual provider in the NPPES registry on May 24, 2017.

Q: What is Leila Rubio's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Leila Rubio was last updated on June 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 24, 2017PECOS EnrolledAccepts Medicare Assignment

200 E ARIZONA AVE, SWEETWATER, TX 79556(325) 235-8641(325) 235-8708 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 11, 2020, May 24, 2017 (2 updates tracked since 2017).

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About Dr. Leila Martinez Rubio Md NPPES

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

DR. LEILA MARTINEZ RUBIO MD (NPI 1194253948) is an individual family medicine provider in Sweetwater, Texas, licensed in Texas (S5259) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2017).

NPPES Registry Identity

NPI1194253948

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. LEILA MARTINEZ RUBIOCredential: MD

Location Address200 E ARIZONA AVESweetwater, TX 79556-7120

Mailing Address200 E Arizona AveSweetwater, TX 79556-7120 · (325) 235-8641 · Fax (325) 235-8708

Phone(325) 235-8641

Fax(325) 235-8708

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2017

Enumeration DateMay 24, 2017

Last NPPES UpdateJune 11, 20202 updates tracked since enumeration

NPPES CertifiedJune 11, 2020

✔ NPI 1194253948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · S5259

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

200 E ARIZONA AVE, Sweetwater, TX 79556

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Leila Martinez Rubio Md 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 ID6103196910

PECOS Enrollment IDI20200615002818

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.

Areas of Expertise CMS Part B claims 8

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

559 services387 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

104 services44 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

47 services18 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

44 services37 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

34 services28 patients

Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181

This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.

20 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Covenant Medical Center

Acute Care Hospitals · Lubbock, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450040

Location3615 19th StreetLubbock, TX 79410 · Lubbock County

Emergency services

Rolling Plains Memorial Hospital

Acute Care Hospitals · Sweetwater, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450055

Location200 E ArizonaSweetwater, TX 79556 · Nolan County

Emergency services Birthing friendly

Hendrick Medical Center

Acute Care Hospitals · Abilene, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450229

Location1900 PineAbilene, TX 79601 · Taylor County

Emergency services Birthing friendly

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450571

Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County

Emergency services Birthing friendly

Fisher County Hospital District

Critical Access Hospitals · Rotan, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451313

Location774 State Highway 70 NRotan, TX 79546 · Fisher County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79556 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers27 claims55 services$6.34 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

2 suppliers11 claims11 services$1.13 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers11 claims11 services$108.07 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers12 claims24 services$33.32 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers13 claims13 services$68.97 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

4 suppliers14 claims14 services$17.37 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIE GENE DODD MPT

Physical Therapist