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PHILLIP LODICO DO
NPI 1730609082
Family Medicine in San Antonio, TX

Active since June 27, 2017PECOS Enrolled
4301 BROADWAY ST, SAN ANTONIO, TX 78209(210) 283-6304 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 17, 2024, Jul 21, 2022, Jun 27, 2017 (3 updates tracked since 2017).

About Phillip Lodico Do NPPES

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

PHILLIP LODICO DO (NPI 1730609082) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (T6949) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730609082
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePHILLIP LODICOCredential: DO
Location Address4301 BROADWAY STSan Antonio, TX 78209-6318
Mailing Address4301 Broadway StSan Antonio, TX 78209-6318 · (210) 283-6304
Phone(210) 283-6304
Sole ProprietorNo
Enumeration DateJune 27, 2017
Last NPPES UpdateJune 17, 20243 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
✔ NPI 1730609082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · T6949
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4301 BROADWAY ST, San Antonio, TX 78209
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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 (PECOS)

Phillip Lodico Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78209 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
$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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$68.75 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$33.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MARK C. GRANBERRY PHARM.D.
Pharmacist (Pharmacotherapy)
4301 BROADWAY ST, CPO99
SAN ANTONIO, TX 78209
Bexar County (210) 805-3025
DR. JOHN MARK TOVAR PHARM.D.
Pharmacist (Pharmacotherapy)
4301 BROADWAY ST
SAN ANTONIO, TX 78209
Bexar County (210) 832-2117
DR. GLORIA BLAIR SARBACKER PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4301 BROADWAY ST, CPO 99
SAN ANTONIO, TX 78209
Bexar County (210) 883-1094
DR. HANSITA B PATEL PHARM.D.
Pharmacist (Ambulatory Care)
4301 BROADWAY ST, CPO 99
SAN ANTONIO, TX 78209
Bexar County (210) 883-1145
AGUSTIN MELENDEZ JR. ATC, LAT
Specialist/Technologist (Athletic Trainer)
4301 BROADWAY ST
SAN ANTONIO, TX 78209
Bexar County (210) 829-3834
DR. RONDA PERRIN GOTTLIEB FNP
Nurse Practitioner
4301 BROADWAY ST
SAN ANTONIO, TX 78209
Bexar County (210) 829-6017
LIDIA GARCIA ATC, LAT
Specialist/Technologist (Athletic Trainer)
4301 BROADWAY ST
SAN ANTONIO, TX 78209
Bexar County (210) 829-3826
BERNARD JOSEPH LOUGH ATC, LAT
Specialist/Technologist (Athletic Trainer)
4301 BROADWAY ST
SAN ANTONIO, TX 78209
Bexar County (210) 829-3834

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 Phillip Lodico's NPI number?

The NPI number for Phillip Lodico is 1730609082. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Phillip Lodico located?

Phillip Lodico practices at 4301 Broadway St, San Antonio, TX 78209. The listed phone number is (210) 283-6304.

What is Phillip Lodico's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Phillip Lodico enrolled in Medicare?

Yes. Phillip Lodico is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phillip Lodico was last updated on June 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.