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RAFAEL A LUGO MD
NPI 1245224492
Surgery in Shenandoah, TX

Active since September 02, 2005PECOS EnrolledAccepts Medicare Assignment
17189 I 45 S STE 275, SHENANDOAH, TX 77385(832) 377-5846(888) 416-9722 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2022, Feb 15, 2020, Jun 4, 2019 and 4 more (7 updates tracked since 2016).

About Rafael A Lugo Md NPPES

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

RAFAEL A LUGO MD (NPI 1245224492) is an individual surgery provider in Shenandoah, Texas, licensed in Texas (K8309) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist The Woodlands Hospital, and is a graduate of Ponce School Of Medicine (1993).

NPPES Registry Identity

NPI1245224492
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRAFAEL A LUGOCredential: MD
Location Address17189 I 45 S STE 275Shenandoah, TX 77385-3326
Mailing AddressPo Box 131330Spring, TX 77393-1330 · (832) 377-5846
Phone(832) 377-5846
Fax(888) 416-9722
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 1993
Enumeration DateSeptember 2, 2005
Last NPPES UpdateAugust 23, 20227 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
✔ NPI 1245224492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · K8309
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
17189 I 45 S STE 275, Shenandoah, TX 77385
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Other Identifiers 10

Other1245224492TX · Blue Cross Blue Shield
Other87670ZTX · Hmo Blue
Other8F6737TX · Bcbs
Other020053268TX · Railroad Medicare
Medicaid031168003TX
Medicaid031168004TX
Medicaid031168005TX
Other5363822TX · Aetna
Medicaid031168002TX
Medicaid401312001TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice.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

Rafael A Lugo 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 ID2860517588
PECOS Enrollment IDI20100917000183
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 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.

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.
75 services75 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
22 services22 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.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670122
Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77385 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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 Rafael Lugo's NPI number?

The NPI number for Rafael Lugo is 1245224492. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Where is Rafael Lugo located?

Rafael Lugo practices at 17189 I 45 S Ste 275, Shenandoah, TX 77385. The listed phone number is (832) 377-5846.

What is Rafael Lugo's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Rafael Lugo enrolled in Medicare?

Yes. Rafael 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.

What insurance does Rafael Lugo accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list Rafael 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.

Is Rafael Lugo affiliated with any hospitals?

According to CMS data, Rafael Lugo is affiliated with Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Rafael Lugo was last updated on August 23, 2022. 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.