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LOURDES B CONCHA M.D.
NPI 1801886569
Internal Medicine - Endocrinology, Diabetes & Metabolism in Harlingen, TX

Active since October 25, 2005PECOS EnrolledAccepts Medicare Assignment
1821 S SESAME SQUARE, SUITE 9, HARLINGEN, TX 78550(956) 412-7099(956) 412-7488 Get Directions Write a Review

NPPES record last updated: April 22, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lourdes B Concha M.d. NPPES

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

LOURDES B CONCHA M.D. (NPI 1801886569) is an individual endocrinology, diabetes & metabolism provider in Harlingen, Texas, licensed in Texas (L8018) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Valley Baptist Medical Center- Brownsville, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1801886569
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameLOURDES B CONCHACredential: M.D.
Location Address1821 S SESAME SQUARE, SUITE 9Harlingen, TX 78550-8407
Mailing Address1821 S Sesame Square, Suite 9Harlingen, TX 78550-8407 · (956) 412-7099 · Fax (956) 412-7488
Phone(956) 412-7099
Fax(956) 412-7488
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateOctober 25, 2005
Last NPPES UpdateApril 22, 2011
✔ NPI 1801886569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in TX · L8018
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1821 S SESAME SQUARE, Harlingen, TX 78550
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINH62145
Medicaid166028402TX
Other8BB671TX · Bcbx

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.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

Lourdes B Concha 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 ID2961485222
PECOS Enrollment IDI20040609000555
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 8

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 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.
364 services154 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.
208 services139 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
91 services41 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment 95250
This process involves a tiny sensor placed under your skin that checks your blood sugar levels in tissue fluid regularly. The sensor sends these readings to a device, allowing you to track your levels in real-time. This is provided by your healthcare provider.
26 services21 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.
22 services22 patients
Fine needle aspiration biopsy using ultrasound guidance, first growth 10005
Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.
16 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Valley Baptist Medical Center- Brownsville

Acute Care Hospitals · Brownsville, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450028
Location1040 W Jefferson StBrownsville, TX 78520 · Cameron County
Emergency services Birthing friendly

Vhs Harlingen Hospital Company LLC

Acute Care Hospitals · Harlingen, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450033
Location2101 Pease StHarlingen, TX 78550 · Cameron County
Emergency services Birthing friendly

Harlingen Medical Center

Acute Care Hospitals · Harlingen, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450855
Location5501 South Expressway 77Harlingen, TX 78550 · Cameron County
Emergency services Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78550 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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers14 claims182 services$18.53 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers16 claims530 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers41 claims147 services$6.53 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers16 claims26 services$1.13 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers14 claims14 services$272.79 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers206 claims212 services$188.73 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 2

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

DONALD C. ROA, MD,PA
Internal Medicine (Cardiovascular Disease)
1821 S SESAME SQUARE, SUITE 9
HARLINGEN, TX 78550
Cameron County (956) 412-7099
DR. DONALD C ROA MD
Internal Medicine (Cardiovascular Disease)
1821 S SESAME SQUARE, SUITE 9
HARLINGEN, TX 78550
Cameron County (956) 412-7099

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 Lourdes Concha's NPI number?

The NPI number for Lourdes Concha is 1801886569. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Lourdes Concha located?

Lourdes Concha practices at 1821 S Sesame Square Suite 9, Harlingen, TX 78550. The listed phone number is (956) 412-7099.

What is Lourdes Concha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Lourdes Concha enrolled in Medicare?

Yes. Lourdes Concha 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 Lourdes Concha accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Lourdes Concha 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 Lourdes Concha affiliated with any hospitals?

According to CMS data, Lourdes Concha is affiliated with Valley Baptist Medical Center- Brownsville, Vhs Harlingen Hospital Company LLC, Harlingen Medical Center and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Lourdes Concha was last updated on April 22, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.