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MIRTA M RODRIGUEZ-LUGO MD
NPI 1831368026
Family Medicine in Albuquerque, NM

Active since February 21, 2008PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
2929 COORS BLVD NW, ALBUQUERQUE, NM 87120(505) 839-2300(505) 839-2303 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mirta M Rodriguez-lugo Md NPPES

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

MIRTA M RODRIGUEZ-LUGO MD (NPI 1831368026) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2009-0452) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS, is affiliated with Lovelace Westside Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1831368026
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMIRTA M RODRIGUEZ-LUGOCredential: MD
Location Address2929 COORS BLVD NWAlbuquerque, NM 87120-1173
Mailing AddressPo Box 26028Albuquerque, NM 87125-6028
Phone(505) 839-2300
Fax(505) 839-2303
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateFebruary 21, 2008
Last NPPES UpdateSeptember 30, 2024
NPPES CertifiedSeptember 30, 2024
✔ NPI 1831368026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NM · MD2009-0452
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.
2929 COORS BLVD NW, Albuquerque, NM 87120
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Other Identifiers 2

Medicaid16401280NM
OtherNM302536NM · Medicare

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.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

Mirta M Rodriguez-lugo Md 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 ID2466591326
PECOS Enrollment IDI20091207000049
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 4

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.
68 services67 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
63 services23 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
20 services12 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Lovelace Westside Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipProprietary
CMS Certification Number320074
Location10501 Golf Course Road NWAlbuquerque, NM 87114 · Bernalillo County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87120 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
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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$69.04 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.

LIVING ON PURPOSE, LLC
Community/Behavioral Health
2929 COORS BLVD NW, SUITE 310 Q
ALBUQUERQUE, NM 87120
Bernalillo County (505) 917-1084
BRIANNA VICTORIA TAPIA PTA
Physical Therapy Assistant
2929 COORS BLVD NW
ALBUQUERQUE, NM 87120
Bernalillo County (505) 836-4899
CATHERINE MADDEN
Behavior Technician
2929 COORS BLVD NW
ALBUQUERQUE, NM 87120
Bernalillo County (505) 788-6770
PEDRO OBED RICO
Behavior Technician
2929 COORS BLVD NW
ALBUQUERQUE, NM 87120
Bernalillo County (505) 788-6770
MRS. FRANCHESCA BANUELOS MA LPCC
Counselor (Mental Health)
2929 COORS BLVD NW, STE 201 C
ALBUQUERQUE, NM 87120
Bernalillo County (505) 266-3828
WESTSIDE COUNSELING
Community/Behavioral Health
2929 COORS BLVD NW, SUITE 310 P
ALBUQUERQUE, NM 87120
Bernalillo County (505) 319-3427
SONYA VICTORIA GARCIA
Behavior Technician
2929 COORS BLVD NW
ALBUQUERQUE, NM 87120
Bernalillo County (505) 974-7541
GABRIEL GONZALES-WICKETTS
Physical Therapy Assistant
2929 COORS BLVD NW
ALBUQUERQUE, NM 87120
Bernalillo County (505) 836-4899

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 Mirta Rodriguez-lugo's NPI number?

The NPI number for Mirta Rodriguez-lugo is 1831368026. It was assigned to this individual provider in the NPPES registry on February 21, 2008.

Where is Mirta Rodriguez-lugo located?

Mirta Rodriguez-lugo practices at 2929 Coors Blvd NW, Albuquerque, NM 87120. The listed phone number is (505) 839-2300.

What is Mirta Rodriguez-lugo's specialty?

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

Is Mirta Rodriguez-lugo enrolled in Medicare?

Yes. Mirta Rodriguez-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 Mirta Rodriguez-lugo accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Mirta Rodriguez-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 Mirta Rodriguez-lugo affiliated with any hospitals?

According to CMS data, Mirta Rodriguez-lugo is affiliated with Lovelace Westside Hospital.

When was this NPI record last updated?

The NPPES record for Mirta Rodriguez-lugo was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.