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ANCESLO IDICULA MD
NPI 1528446572
Surgery - Surgery of the Hand in Lubbock, TX

Active since May 11, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3601 4TH ST # MS 8312, LUBBOCK, TX 79430(806) 743-2373(806) 743-4354 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anceslo Idicula Md NPPES

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

ANCESLO IDICULA MD (NPI 1528446572) is an individual surgery of the hand provider in Lubbock, Texas, licensed in Texas (U5988) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with University Medical Center, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2015).

NPPES Registry Identity

NPI1528446572
Entity TypeIndividualMale
Primary Taxonomy2086S0105X
Provider Legal NameANCESLO IDICULACredential: MD
Location Address3601 4TH ST # MS 8312Lubbock, TX 79430-0002
Mailing Address3601 4th St # Ms 8312Lubbock, TX 79430-0002 · (806) 743-2373 · Fax (806) 743-4354
Phone(806) 743-2373
Fax(806) 743-4354
Sole ProprietorYes
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2015
Enumeration DateMay 11, 2015
Last NPPES UpdateSeptember 8, 2023
NPPES CertifiedSeptember 8, 2023
✔ NPI 1528446572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2086S0105X
License✔ Licensed in TX · U5988
Definition
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedSurgeryTaxonomy 208600000X · License BP10052704 (TX)
3601 4TH ST # MS 8312, Lubbock, TX 79430
Open in Google Maps ↗

Accepted Insurance

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

Anceslo Idicula 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 ID9638477839
PECOS Enrollment IDI20230908001708
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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
251 services31 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.
64 services44 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.
50 services50 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.
20 services20 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
17 services12 patients
Application of elbow to finger cast 29075
An elbow to finger cast is applied to immobilize the arm from the elbow down to the fingers. This aids in healing fractures or severe sprains. The cast, made from plaster or fiberglass, wraps around the arm, providing support and limiting movement to promote recovery.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center

Acute Care Hospitals · Lubbock, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450686
Location602 Indiana AvenueLubbock, TX 79415 · Lubbock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79430 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.19
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

ZAINA HABRAWI MD
Surgery
3601 4TH ST # MS 8312
LUBBOCK, TX 79430
Lubbock County (806) 743-2289
SHARMILA D DISSANAIKE MD
Surgery (Surgical Critical Care)
3601 4TH ST # MS 8312
LUBBOCK, TX 79430
Lubbock County (806) 743-2164
MICHAEL GARCIA
Nurse Practitioner (Family)
3601 4TH ST # MS 8312
LUBBOCK, TX 79430
Lubbock County (806) 743-3676

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 Anceslo Idicula's NPI number?

The NPI number for Anceslo Idicula is 1528446572. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Where is Anceslo Idicula located?

Anceslo Idicula practices at 3601 4th St # Ms 8312, Lubbock, TX 79430. The listed phone number is (806) 743-2373.

What is Anceslo Idicula's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.

Is Anceslo Idicula enrolled in Medicare?

Yes. Anceslo Idicula 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 Anceslo Idicula accept?

Health plans from Blue Cross and Blue Shield of Texas list Anceslo Idicula 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 Anceslo Idicula affiliated with any hospitals?

According to CMS data, Anceslo Idicula is affiliated with University Medical Center.

When was this NPI record last updated?

The NPPES record for Anceslo Idicula was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.