EDUARDO MALVIN BUENO LACUNA JR. MD
NPI 1225216393
Obstetrics & Gynecology in Modesto, CA

Q: What is Eduardo Malvin Lacuna's NPI number?

The NPI number for Eduardo Malvin Lacuna is 1225216393. It was assigned to this individual provider in the NPPES registry on January 31, 2008.

Q: What is Eduardo Malvin Lacuna's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since January 31, 2008PECOS EnrolledAccepts Medicare Assignment

1409 E BRIGGSMORE AVE, MODESTO, CA 95355(209) 524-1211 Get Directions Write a Review

NPPES record last updated: October 3, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Eduardo Malvin Bueno Lacuna Jr. Md NPPES

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

EDUARDO MALVIN BUENO LACUNA JR. MD (NPI 1225216393) is an individual obstetrics & gynecology provider in Modesto, California, licensed in California (A109359) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1225216393

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameEDUARDO MALVIN BUENO LACUNA JR.Credential: MD

Location Address1409 E BRIGGSMORE AVEModesto, CA 95355-2707

Mailing Address600 Coffee RdModesto, CA 95355-4201 · (209) 521-6097

Phone(209) 524-1211

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateJanuary 31, 2008

Last NPPES UpdateOctober 3, 2016

✔ NPI 1225216393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CA · A109359

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1409 E BRIGGSMORE AVE, Modesto, CA 95355

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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

Eduardo Malvin Bueno Lacuna Jr. 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 ID2062680556

PECOS Enrollment IDI20110728000258

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

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

Hera Obgyn Medical Group, Inc.

0.2 mi

Obstetrics & Gynecology

1552 COFFEE RD, 1ST FLOOR
Modesto, CA 95355

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Hera Ob-Gyn Medical Group Inc
9 clinicians in this Medicare group

NPI 1992710768 (209) 521-4372

Sutter Valley Medical Foundation

1.0 mi

Multi-Specialty

600 COFFEE RD
Modesto, CA 95355

Reassigned Medicare billing, California enrollment
3,056 clinicians in this Medicare group

NPI 1669846986 (209) 524-1211

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 3

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

66 services43 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95355 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

SULMAN RAZZAQ

Internal Medicine (Interventional Cardiology)