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CARLOS LUGO M.D.
NPI 1740226828
Orthopaedic Surgery in West Covina, CA

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
1050 LAKES DR, SUITE #100, WEST COVINA, CA 91790(626) 918-6655(626) 918-6633 Get Directions Write a Review

NPPES record last updated: January 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carlos Lugo M.d. NPPES

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

CARLOS LUGO M.D. (NPI 1740226828) is an individual orthopaedic surgery provider in West Covina, California, licensed in California (G49116) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1740226828
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameCARLOS LUGOCredential: M.D.
Location Address1050 LAKES DR, SUITE #100West Covina, CA 91790-2924
Mailing Address1050 Lakes Dr, Suite #100West Covina, CA 91790-2924 · (626) 918-6655 · Fax (626) 918-6633
Phone(626) 918-6655
Fax(626) 918-6633
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateJune 20, 2006
Last NPPES UpdateJanuary 15, 2010
✔ NPI 1740226828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CA · G49116
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1050 LAKES DR, West Covina, CA 91790
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Other Identifiers 2

Medicare UPINE52165CA
Medicare ID-Type UnspecifiedWG49116BCA

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

Carlos 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 ID8921070764
PECOS Enrollment IDI20041026001201
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 6

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 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.
65 services45 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.
47 services47 patients
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.
29 services25 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
25 services19 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.
17 services14 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91790 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.46
Promoting Interoperability90
Improvement Activities40
Cost50.22

Other Providers at the Same Location NPPES 13

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

ORTHOPAEDIC MEDICAL GROUP & ATHLETIC REHABILITATION CENTER, INC
Orthopaedic Surgery
1050 LAKES DR, STE 100
WEST COVINA, CA 91790
Los Angeles County (626) 918-6655
LETICIA NIETO
Social Worker (Clinical)
1050 LAKES DR
WEST COVINA, CA 91790
Los Angeles County (661) 402-1545
VICTOR MONTERO
Behavior Technician
1050 LAKES DR
WEST COVINA, CA 91790
Los Angeles County (213) 548-0555
BRIANA MARIE MOSIER DPT
Physical Therapist
1050 LAKES DR, SUITE 100
WEST COVINA, CA 91790
Los Angeles County (626) 918-6655
KEE P WONG M.D.
Orthopaedic Surgery
1050 LAKES DR, SUITE 100
WEST COVINA, CA 91790
Los Angeles County (626) 918-6655
PEOPLE EMPOWERING PEOPLE, LLC
Home Health
1050 LAKES DR, SUITE 250
WEST COVINA, CA 91790
Los Angeles County (626) 538-7578
DR. DAVID WAYNE ALFARO DDS
Dentist (General Practice)
1050 LAKES DR, SUITE #335
WEST COVINA, CA 91790
Los Angeles County (626) 338-9963
PATRICK R. DUKE PA-C
Physician Assistant
1050 LAKES DR, SUITE 100
WEST COVINA, CA 91790
Los Angeles County (626) 918-6655

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 Carlos Lugo's NPI number?

The NPI number for Carlos Lugo is 1740226828. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Carlos Lugo located?

Carlos Lugo practices at 1050 Lakes Dr Suite #100, West Covina, CA 91790. The listed phone number is (626) 918-6655.

What is Carlos Lugo's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Carlos Lugo enrolled in Medicare?

Yes. Carlos 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.

When was this NPI record last updated?

The NPPES record for Carlos Lugo was last updated on January 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.