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SHEILA LEZCANO M.D.
NPI 1295098390
Internal Medicine - Rheumatology in Los Angeles, CA

Active since June 22, 2012PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
1700 E CESAR E CHAVEZ AVE STE 3300, LOS ANGELES, CA 90033(323) 307-8900(323) 881-8864 Get Directions Write a Review

NPPES record last updated: December 6, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sheila Lezcano M.d. NPPES

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

SHEILA LEZCANO M.D. (NPI 1295098390) is an individual rheumatology provider in Los Angeles, California, licensed in California (A130548) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2012).

NPPES Registry Identity

NPI1295098390
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameSHEILA LEZCANOCredential: M.D.
Location Address1700 E CESAR E CHAVEZ AVE STE 3300Los Angeles, CA 90033-2469
Mailing Address1700 E Cesar E Chavez Ave Ste 3300Los Angeles, CA 90033-2469 · (323) 307-8900 · Fax (323) 881-8864
Phone(323) 307-8900
Fax(323) 881-8864
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2012
Enumeration DateJune 22, 2012
Last NPPES UpdateDecember 6, 2017
✔ NPI 1295098390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in CA · A130548
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1700 E CESAR E CHAVEZ AVE STE 3300, Los Angeles, CA 90033
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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

Sheila Lezcano M.d. 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 ID6406126424
PECOS Enrollment IDI20170725001829
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 4

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.
224 services117 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
77 services56 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.24
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

CHRISTIAN J. GASTELUM MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1700 E CESAR E CHAVEZ AVE STE 3300
LOS ANGELES, CA 90033
Los Angeles County (323) 307-8900

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 Sheila Lezcano's NPI number?

The NPI number for Sheila Lezcano is 1295098390. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Where is Sheila Lezcano located?

Sheila Lezcano practices at 1700 E Cesar E Chavez Ave Ste 3300, Los Angeles, CA 90033. The listed phone number is (323) 307-8900.

What is Sheila Lezcano's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Sheila Lezcano enrolled in Medicare?

Yes. Sheila Lezcano 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.

When was this NPI record last updated?

The NPPES record for Sheila Lezcano was last updated on December 6, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.