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DR. ESMERALDA LUGO M.D.
NPI 1629203195
Internal Medicine in San Antonio, TX

Active since May 27, 2009PECOS EnrolledAccepts Medicare Assignment
520 MADISON OAK DR, SAN ANTONIO, TX 78258(210) 297-6500(210) 297-4165 Get Directions Write a Review

NPPES record last updated: December 3, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Esmeralda Lugo M.d. NPPES

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

DR. ESMERALDA LUGO M.D. (NPI 1629203195) is an individual internal medicine provider in San Antonio, Texas, licensed in Texas (P4779) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1629203195
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. ESMERALDA LUGOCredential: M.D.
Location Address520 MADISON OAK DRSan Antonio, TX 78258-3913
Mailing Address520 Madison Oak DrSan Antonio, TX 78258-3913 · (210) 297-6500 · Fax (210) 297-4165
Phone(210) 297-6500
Fax(210) 297-4165
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 27, 2009
Last NPPES UpdateDecember 3, 2012
✔ NPI 1629203195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · P4779
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
520 MADISON OAK DR, San Antonio, TX 78258
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Esmeralda Lugo 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 ID5890949929
PECOS Enrollment IDI20130125000220
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

4

Medicare enrollment records show Esmeralda Lugo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellmed Networks, Inc.
9.1 mi
Cardiovascular Disease
7622 LOUIS PASTEUR, SUITE 100
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 233 clinicians in this Medicare group
NPI 1386948677 (210) 588-0122
Sound Inpatient Physicians Of Texas I, Inc
13 mi
Hospitalist
111 DALLAS ST
San Antonio, TX 78205
  • Reassigned Medicare billing, Texas enrollment
  • 478 clinicians in this Medicare group
NPI 1811321797 (210) 297-7000
Usacs Integrated Acute Care Services Of Texas, PLLC
75 mi
Internal Medicine
1401 MEDICAL PKWY
Cedar Park, TX 78613
  • Reassigned Medicare billing, Texas enrollment
  • 828 clinicians in this Medicare group
NPI 1801300322 (330) 493-4443
Hospitalist Medicine Physicians Of Texas, PLLC
195 mi
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 clinicians in this Medicare group
NPI 1629307095 (281) 540-7700

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

Areas of Expertise CMS Part B claims

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
132 services130 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Baptist Neighborhood Hospital Thousand Oaks

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670078
Location16088 San PedroSan Antonio, TX 78232 · Bexar County
Emergency services

Resolute Health Hospital

Acute Care Hospitals · New Braunfels, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670098
Location555 Creekside Xing,New Braunfels, TX 78130 · Comal County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78258 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%338 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

PEDRO NELSON CHAVEZ MD
Pediatrics (Pediatric Critical Care Medicine)
520 MADISON OAK DR, SUITE 103
SAN ANTONIO, TX 78258
Bexar County (210) 297-8640
JANET LUCRETIA ROWE M.D.
Pediatrics (Pediatric Nephrology)
520 MADISON OAK DR, SUITE 320
SAN ANTONIO, TX 78258
Bexar County (210) 241-3655
MALISSA BROWN APRN-CNP
Nurse Practitioner (Family)
520 MADISON OAK DR
SAN ANTONIO, TX 78258
Bexar County (210) 297-4000
ACCOMPLISHED DIAGNOSTIC MEDICAL INPATIENT TEAM, P.A.
Internal Medicine
520 MADISON OAK DR
SAN ANTONIO, TX 78258
Bexar County (210) 297-4000
DR. SANDRA R AVILES MD
Pediatrics (Pediatric Critical Care Medicine)
520 MADISON OAK DR
SAN ANTONIO, TX 78258
Bexar County (210) 297-9640
DR. MELHEM DANDAN MD
Family Medicine
520 MADISON OAK DR
SAN ANTONIO, TX 78258
Bexar County (210) 297-4000
FARAHNAZ SHAFIEY
Anesthesiologist Assistant
520 MADISON OAK DR
SAN ANTONIO, TX 78258
Bexar County (210) 297-4007
DR. DEBORAH JENDELL ALMAREZ AU.D.
Audiologist
520 MADISON OAK DR
SAN ANTONIO, TX 78258
Bexar County (210) 297-4724

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 Esmeralda Lugo's NPI number?

The NPI number for Esmeralda Lugo is 1629203195. It was assigned to this individual provider in the NPPES registry on May 27, 2009.

Where is Esmeralda Lugo located?

Esmeralda Lugo practices at 520 Madison Oak Dr, San Antonio, TX 78258. The listed phone number is (210) 297-6500.

What is Esmeralda Lugo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Esmeralda Lugo enrolled in Medicare?

Yes. Esmeralda 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.

Which organizations bill Medicare for Esmeralda Lugo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Esmeralda Lugo reassigns Medicare benefits to 4 organizations: Wellmed Networks, Inc. (San Antonio, TX), Sound Inpatient Physicians Of Texas I, Inc (San Antonio, TX), Usacs Integrated Acute Care Services Of Texas, PLLC (Cedar Park, TX) and Hospitalist Medicine Physicians Of Texas, PLLC (Humble, 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 Esmeralda Lugo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Esmeralda 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 Esmeralda 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 Esmeralda Lugo affiliated with any hospitals?

According to CMS data, Esmeralda Lugo is affiliated with Baptist Medical Center, Baptist Neighborhood Hospital Thousand Oaks and Resolute Health Hospital.

When was this NPI record last updated?

The NPPES record for Esmeralda Lugo was last updated on December 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.