GUSTAVO LUGO M.D.
NPI 1912941683
Specialist in Oceanside, CA

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
4002 VISTA WAY, OCEANSIDE, CA 92056(760) 724-8411 Get Directions Write a Review

NPPES record last updated: October 7, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Gustavo Lugo M.d. NPPES

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

GUSTAVO LUGO M.D. (NPI 1912941683) is an individual specialist in Oceanside, California, licensed in California (G57240) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (1984).

NPPES Registry Identity

NPI1912941683
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameGUSTAVO LUGOCredential: M.D.
Location Address4002 VISTA WAYOceanside, CA 92056-4506
Mailing Address3156 Vista WayOceanside, CA 92056-3622 · (760) 439-6581 · Fax (760) 439-6585
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1984
Enumeration DateJune 15, 2006
Last NPPES UpdateOctober 7, 2008
✔ NPI 1912941683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G57240
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4002 VISTA WAY, Oceanside, CA 92056

Other Identifiers 2

Medicare UPING57240CA
Medicare ID-Type UnspecifiedWG57240FCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gustavo 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 ID1658261243
PECOS Enrollment IDI20040317001141
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.

Medicare Billing Reassignment

Medicare enrollment records show Gustavo Lugo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
9850 GENESEE AVE, SUITE 900
La Jolla, CA 92037
  • Reassigned Medicare billing, California enrollment
  • 44 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
348 services142 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
135 services67 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
108 services107 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
27 services27 patients

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier14 claims14 services$35.25 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.

Nurse Anesthetist, Certified Registered
4002 VISTA WAY
OCEANSIDE, CA 92056
Emergency Medicine (Emergency Medical Services)
4002 VISTA WAY
OCEANSIDE, CA 92056
Family Medicine
4002 VISTA WAY
OCEANSIDE, CA 92056
Emergency Medicine
4002 VISTA WAY
OCEANSIDE, CA 92056
Pathology (Anatomic Pathology & Clinical Pathology)
4002 VISTA WAY
OCEANSIDE, CA 92056
Pathology (Anatomic Pathology & Clinical Pathology)
4002 VISTA WAY
OCEANSIDE, CA 92056
Internal Medicine
4002 VISTA WAY
OCEANSIDE, CA 92056
Registered Nurse (Registered Nurse First Assistant)
4002 VISTA WAY
OCEANSIDE, CA 92056

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 Gustavo Lugo's NPI number?

The NPI number for Gustavo Lugo is 1912941683. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Gustavo Lugo located?

Gustavo Lugo practices at 4002 Vista Way, Oceanside, CA 92056. The listed phone number is (760) 724-8411.

What is Gustavo Lugo's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Gustavo Lugo enrolled in Medicare?

Yes. Gustavo 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.

Which organization bills Medicare for Gustavo Lugo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gustavo Lugo reassigns Medicare benefits to Ximed Hospitalists, Inc. (La Jolla, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gustavo Lugo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gustavo Lugo was last updated on October 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.