MAYRA LIZ LUGO-GONZALEZ
NPI 1255610531
Psychologist - Clinical in Tampa, FL

Q: What is Mayra Lugo-gonzalez's NPI number?

The NPI number for Mayra Lugo-gonzalez is 1255610531. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Q: What is Mayra Lugo-gonzalez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since August 04, 2011PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

5510 N HESPERIDES ST, TAMPA, FL 33614(813) 467-6111 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 29, 2023, Nov 16, 2021 (2 updates tracked since 2021).

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About Mayra Liz Lugo-gonzalez NPPES

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

MAYRA LIZ LUGO-GONZALEZ (NPI 1255610531) is an individual clinical provider in Tampa, Florida, licensed in Florida (PY11197) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1255610531

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMAYRA LIZ LUGO-GONZALEZ

Location Address5510 N HESPERIDES STTampa, FL 33614-5414

Mailing Address5510 N Hesperides StTampa, FL 33614-5414 · (813) 467-6111

Phone(813) 467-6111

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateAugust 4, 2011

Last NPPES UpdateJanuary 26, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2024

✔ NPI 1255610531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in FL · PY11197

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License 3900 (PR)

5510 N HESPERIDES ST, Tampa, FL 33614

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.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

Mayra Liz Lugo-gonzalez 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 ID3577956416

PECOS Enrollment IDI20220217000017

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 2

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.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

920 services399 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

770 services762 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33614 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

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

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.

JESSICA NICOLE BALOK-ANGELILLI APRN

Nurse Practitioner (Psychiatric/Mental Health)