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DR. RAUL NELSON LUGO M.D.
NPI 1801866322
Surgery in Clovis, NM

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
2421 W 21ST ST, STE B, CLOVIS, NM 88101(757) 697-5775(575) 742-7856 Get Directions Write a Review

NPPES record last updated: February 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 8, 2025, Jan 26, 2022, Sep 17, 2020 and 4 more (7 updates tracked since 2016).

About Dr. Raul Nelson Lugo M.d. NPPES

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

DR. RAUL NELSON LUGO M.D. (NPI 1801866322) is an individual surgery provider in Clovis, New Mexico, licensed in New Mexico (MD2022-1422) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Plains Regional Medical Center, and is a graduate of New York Medical College (1979).

NPPES Registry Identity

NPI1801866322
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. RAUL NELSON LUGOCredential: M.D.
Location Address2421 W 21ST ST, STE BClovis, NM 88101
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (575) 769-7577
Phone(757) 697-5775
Fax(575) 742-7856
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1979
Enumeration DateJanuary 25, 2006
Last NPPES UpdateFebruary 8, 20257 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2025
✔ NPI 1801866322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NM · MD2022-1422
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2421 W 21ST ST, Clovis, NM 88101
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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 Superior HealthPlan, Ambetter 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

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Raul Nelson 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 ID7911995857
PECOS Enrollment IDI20221130000252
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.

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.
94 services72 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
93 services69 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.
53 services53 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
37 services35 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services30 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Plains Regional Medical Center

Acute Care Hospitals · Clovis, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320022
Location2100 N Martin Luther King, Jr, BlvdClovis, NM 88101 · Curry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88101 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

Other Providers at the Same Location NPPES

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

SURGERY CENTER OF EASTERN NEW MEXICO LLC
Clinic/Center (Ambulatory Surgical)
2421 W 21ST ST
CLOVIS, NM 88101
Curry County (505) 763-8800

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 Raul Lugo's NPI number?

The NPI number for Raul Lugo is 1801866322. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Raul Lugo located?

Raul Lugo practices at 2421 W 21st St Ste B, Clovis, NM 88101. The listed phone number is (757) 697-5775.

What is Raul Lugo's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Raul Lugo enrolled in Medicare?

Yes. Raul 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.

What insurance does Raul Lugo accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma, Blue Cross and Blue Shield of Texas and CareSource list Raul 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 Raul Lugo affiliated with any hospitals?

According to CMS data, Raul Lugo is affiliated with Plains Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Raul Lugo was last updated on February 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.