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JOSE RAFAEL LUGAY D.M.D.
NPI 1790060424
Dentist - General Practice in Jefferson Valley, NY

Active since October 13, 2011Opted out of Medicare · through Feb 8, 2028
3654 LEE BLVD., JEFFERSON VALLEY, NY 10535(914) 245-4760(914) 243-9861 Get Directions Write a Review

NPPES record last updated: October 13, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jose Rafael Lugay D.m.d. NPPES

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

JOSE RAFAEL LUGAY D.M.D. (NPI 1790060424) is an individual general practice provider in Jefferson Valley, New York, licensed in New York (045330) and active in the NPI registry since October 2011. He has opted out of Medicare through February 8, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1790060424
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJOSE RAFAEL LUGAYCredential: D.M.D.
Location Address3654 LEE BLVD.Jefferson Valley, NY 10535
Mailing AddressP.o. Box 489Jefferson Valley, NY 10535 · (914) 245-4760 · Fax (914) 243-9861
Phone(914) 245-4760
Fax(914) 243-9861
Sole ProprietorYes
Enumeration DateOctober 13, 2011
✔ NPI 1790060424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 045330
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3654 LEE BLVD., Jefferson Valley, NY 10535
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Jose Rafael Lugay D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 8, 2016 through February 8, 2028.

Opt-Out Effective DateFebruary 8, 2016
Opt-Out In Effect ThroughFebruary 8, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10535 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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 Jose Lugay's NPI number?

The NPI number for Jose Lugay is 1790060424. It was assigned to this individual provider in the NPPES registry on October 13, 2011.

Where is Jose Lugay located?

Jose Lugay practices at 3654 Lee Blvd., Jefferson Valley, NY 10535. The listed phone number is (914) 245-4760.

What is Jose Lugay's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jose Lugay enrolled in Medicare?

No. Jose Lugay has opted out of Medicare through February 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jose Lugay accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Jose Lugay 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.

When was this NPI record last updated?

The NPPES record for Jose Lugay was last updated on October 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.