DR. LUIS HUMBERTO BARRAZA MD
NPI 1962898718
Internal Medicine - Gastroenterology in New York, NY

Active since April 08, 2015PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
232 E 30TH ST, NEW YORK, NY 10016(212) 889-7880 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Luis Humberto Barraza Md NPPES

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

DR. LUIS HUMBERTO BARRAZA MD (NPI 1962898718) is an individual gastroenterology provider in New York, New York, licensed in New York (294813) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Lenox Hill Hospital, and is a graduate of New York University School Of Medicine (2015).

NPPES Registry Identity

NPI1962898718
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. LUIS HUMBERTO BARRAZACredential: MD
Location Address232 E 30TH STNew York, NY 10016-8202
Mailing Address232 E 30th StNew York, NY 10016-8202 · (212) 889-7880
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2015
Enumeration DateApril 8, 2015
Last NPPES UpdateMarch 31, 2021
NPPES CertifiedMarch 31, 2021
NPI 1962898718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NY · 294813
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
232 E 30TH ST, New York, NY 10016

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. Luis Humberto Barraza 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 ID5193062545
PECOS Enrollment IDI20210723001290
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.
123 services73 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.
70 services70 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.
35 services35 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
31 services31 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.
30 services28 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.
24 services17 patients

Hospital Affiliations CMS Care Compare

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

Lenox Hill Hospital

Acute Care Hospitals · New York, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330119
Location100 East 77th StreetNew York, NY 10021 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 18

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

Clinic/Center (Multi-Specialty)
232 E 30TH ST
NEW YORK, NY 10016
Internal Medicine (Gastroenterology)
232 E 30TH ST
NEW YORK, NY 10016
Internal Medicine (Gastroenterology)
232 E 30TH ST
NEW YORK, NY 10016
Internal Medicine (Gastroenterology)
232 E 30TH ST
NEW YORK, NY 10016
Internal Medicine (Gastroenterology)
232 E 30TH ST
NEW YORK, NY 10016
Internal Medicine (Rheumatology)
232 E 30TH ST
NEW YORK, NY 10016
Internal Medicine (Gastroenterology)
232 E 30TH ST
NEW YORK, NY 10016
Internal Medicine
232 E 30TH ST
NEW YORK, NY 10016

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 Luis Barraza's NPI number?

The NPI number for Luis Barraza is 1962898718. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Luis Barraza located?

Luis Barraza practices at 232 E 30th St, New York, NY 10016. The listed phone number is (212) 889-7880.

What is Luis Barraza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Luis Barraza enrolled in Medicare?

Yes. Luis Barraza 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.

Is Luis Barraza affiliated with any hospitals?

According to CMS data, Luis Barraza is affiliated with Lenox Hill Hospital.

When was this NPI record last updated?

The NPPES record for Luis Barraza was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.