MR. JONATHAN MATTHEW LUGO M.D.
NPI 1265864300
Obstetrics & Gynecology in Edinburg, TX

Active since July 31, 2013PECOS Enrolled
1661 E CANTON RD, EDINBURG, TX 78542(956) 720-4577 Get Directions Write a Review

NPPES record last updated: February 21, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Jonathan Matthew Lugo M.d. NPPES

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

MR. JONATHAN MATTHEW LUGO M.D. (NPI 1265864300) is an individual obstetrics & gynecology provider in Edinburg, Texas, licensed in Texas (R5161) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2013).

NPPES Registry Identity

NPI1265864300
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMR. JONATHAN MATTHEW LUGOCredential: M.D.
Location Address1661 E CANTON RDEdinburg, TX 78542-2925
Mailing Address701 W 5th StOdessa, TX 79763-4206 · (432) 335-2222
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2013
Enumeration DateJuly 31, 2013
Last NPPES UpdateFebruary 21, 2018
✔ NPI 1265864300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · R5161
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.
1661 E CANTON RD, Edinburg, TX 78542

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jonathan Matthew Lugo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113218256
PECOS Enrollment IDI20180426002441
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

5

Medicare enrollment records show Jonathan Lugo reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
801 E NOLANA ST, STE 18
Mcallen, TX 78504
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Alejandro A. Tey M.D.,p.A.
  • 5 clinicians in this Medicare group
Obstetrics
3001 N 23RD ST STE 1
Mcallen, TX 78501
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
Obstetrics & Gynecology
7950 FLOYD CURL DR, SUITE 300 & 400
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 64 clinicians in this Medicare group
Obstetrics & Gynecology
12221 N MOPAC EXPY
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Obhg Texas Holdings PA
  • 998 clinicians in this Medicare group
Obstetrics & Gynecology
15303 DALLAS PKWY STE 650
Addison, TX 75001
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Unified Womens Healthcare Of Texas PLLC
  • 271 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78542 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Women's Health)
1661 E CANTON RD
EDINBURG, TX 78542

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 Jonathan Lugo's NPI number?

The NPI number for Jonathan Lugo is 1265864300. It was assigned to this individual provider in the NPPES registry on July 31, 2013.

Where is Jonathan Lugo located?

Jonathan Lugo practices at 1661 E Canton Rd, Edinburg, TX 78542. The listed phone number is (956) 720-4577.

What is Jonathan Lugo's specialty?

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

Is Jonathan Lugo enrolled in Medicare?

Yes. Jonathan Lugo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jonathan Lugo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Lugo reassigns Medicare benefits to 5 organizations: Alejandro A Tey MD PA (Mcallen, TX), Carlos E Puig Mdpa (Mcallen, TX), Lone Star Ob/Gyn Associates, P.A. (San Antonio, TX), Obhg Texas Holdings, P.A. (Austin, TX) and Unified Women's Healthcare Of Texas PLLC (Addison, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Lugo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Lugo accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Jonathan 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.

When was this NPI record last updated?

The NPPES record for Jonathan Lugo was last updated on February 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.