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LUIS GERALD LORA GARCIA M.D.
NPI 1235665597
Internal Medicine in Valparaiso, IN

Active since May 05, 2017PECOS Enrolled
1200 LAKE SUPERIOR RD, VALPARAISO, IN 46383(863) 254-8772 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 20, 2024, May 26, 2023, Mar 20, 2021 and 4 more (7 updates tracked since 2017).

About Luis Gerald Lora Garcia M.d. NPPES

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

LUIS GERALD LORA GARCIA M.D. (NPI 1235665597) is an individual internal medicine provider in Valparaiso, Indiana, licensed in Indiana (01084553A) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1235665597
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameLUIS GERALD LORA GARCIACredential: M.D.
Location Address1200 LAKE SUPERIOR RDValparaiso, IN 46383-6752
Mailing Address1200 Lake Superior RdValparaiso, IN 46383-6752 · (863) 254-8772
Phone(863) 254-8772
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 5, 2017
Last NPPES UpdateDecember 20, 20247 updates tracked since enumeration
NPPES CertifiedDecember 20, 2024
✔ NPI 1235665597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01084553A
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1200 LAKE SUPERIOR RD, Valparaiso, IN 46383
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Other Identifiers 1

Medicaid01084553AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross Blue Shield of Arizona, 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 (PECOS)

Luis Gerald Lora Garcia M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557634060
PECOS Enrollment IDI20260311002116
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 9

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.

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.
422 services154 patients
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.
326 services213 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
112 services109 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
76 services57 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
74 services74 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
73 services73 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46383 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 2

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers13 claims68 services$2.07 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier23 claims23 services$194.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Luis Lora Garcia's NPI number?

The NPI number for Luis Lora Garcia is 1235665597. It was assigned to this individual provider in the NPPES registry on May 5, 2017.

Where is Luis Lora Garcia located?

Luis Lora Garcia practices at 1200 Lake Superior Rd, Valparaiso, IN 46383. The listed phone number is (863) 254-8772.

What is Luis Lora Garcia's specialty?

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

Is Luis Lora Garcia enrolled in Medicare?

Yes. Luis Lora Garcia is registered in the Medicare PECOS enrollment system.

What insurance does Luis Lora Garcia accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Kansas, Inc. and UnitedHealthcare list Luis Lora Garcia 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 Luis Lora Garcia was last updated on December 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.