Active NPI 1801866322 Individual Practitioner Male Practitioner

Dr. Raul Nelson Lugo , MD

Surgery • Clovis, NM

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Raul Lugo, MD is a certified Surgery practicing in Clovis, NM. With approximately 47 years of clinical experience since graduating from New York Medical College in 1979, Dr. Lugo delivers high-quality medical care to the local community at 2421 W 21ST ST.

Dr. Lugo is affiliated with Presbyterian Healthcare Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2421 W 21st St
Ste B

Clovis, NM 88101

Telephone 7576975775

Fax 5757427856

Associated Practice Facility / Clinic

🏢 Surgery Center Of Eastern New Mexico Llc Facility NPI 1639121759

Medicare Profile & Education

Medical School

New York Medical College

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Clovis, NM

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs +22.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 22.5 Yrs

Regional Practice Density

7 Specialists

Practicing in Clovis, NM (251 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lugo (47 Years) 47 Yrs

Clovis Specialty Average (24.3 Years) 24.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	94	72	$75.94	$62.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	69	$43.99	$33.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$108.19	$78.73
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	35	$522.00	$83.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$298.00	$124.85
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	13	$88.00	$47.48
45380 Biopsy of large bowel using an endoscope	24	24	$487.00	$120.65
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$578.00	$211.57
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	11	11	$552.09	$169.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	125	91	$43.26	$34.97
99213 Established patient office or other outpatient visit, typically 15 minutes	92	72	$71.87	$64.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$98.05	$81.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	15	$81.88	$47.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$266.09	$128.35
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$522.00	$104.39
45380 Biopsy of large bowel using an endoscope	16	16	$487.00	$83.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$156.87	$131.18
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$578.00	$247.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	24	$110.89	$38.77
99213 Established patient office or other outpatient visit, typically 15 minutes	27	21	$185.00	$71.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	19	$111.00	$43.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$422.00	$158.45
76937 Ultrasonic guidance for blood vessel access	17	17	$42.00	$14.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$273.00	$104.13
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	14	14	$337.00	$86.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$545.00	$198.93
47562 Removal of gallbladder using an endoscope	12	12	$1767.00	$663.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	52	$251.23	$102.70
99213 Established patient office or other outpatient visit, typically 15 minutes	42	32	$200.00	$69.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$400.00	$155.20
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$1130.00	$74.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	67	$250.00	$98.72
99213 Established patient office or other outpatient visit, typically 15 minutes	75	54	$200.00	$68.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$400.00	$155.13
99221 Initial hospital inpatient care per day, typically 30 minutes	23	22	$275.00	$96.21
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$1130.00	$86.11
45380 Biopsy of large bowel using an endoscope	12	12	$1211.00	$195.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$300.00	$101.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	67	$187.50	$100.50
99213 Established patient office or other outpatient visit, typically 15 minutes	56	45	$154.46	$67.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$331.69	$152.44
99221 Initial hospital inpatient care per day, typically 30 minutes	27	26	$256.04	$96.59
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$924.67	$87.72
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$427.20	$194.77
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$4129.75	$249.56

Medical Specialties & State Licenses

CMS Verified: 2025-02-08

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NM MD2022-1422

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.

Hospital & Practice Group Affiliations

Presbyterian Healthcare Services

2421 W 21st St, Clovis, NM 881012006

Phone: 5757697577

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Lyssa Haase , PsyD

Psychologist - Clinical

NPI 1053709634

Doctor of Psychology (Psy.D.)

Beba Perez-Rodriguez , PSY

Psychologist - Clinical

NPI 1083290480

Dr. Ayyappa Mysore Rangaraju , MD

Internal Medicine - Gastroenterology

NPI 1093059925

Doctor of Medicine (M.D.)

Diana Fick , PA

Physician Assistant - Surgical

NPI 1528781655

Physician Assistant

Dr. Jeffrey Durgin , MD

Surgery

NPI 1598750424

Doctor of Medicine (M.D.)

Christy Cooper , CNS

Clinical Nurse Specialist

NPI 1811478142

Clinical Nurse Specialist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

20 Historical Events

📍

Updated Practice Location February 08, 2025

Registered at 2421 W 21ST ST, STE B, CLOVIS, NM 88101 (Tel: 7576975775)

📍

Updated Business Mailing Address February 08, 2025

Registered at PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 871256666 (Tel: 5757697577)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2025

Surgery (License #MD2022-1422 in NM)

📍

Updated Practice Location January 26, 2022

Registered at 702 ANNA WAY, STATESBORO, GA 304589101 (Tel: 8645808033)

📍

Updated Business Mailing Address January 26, 2022

Registered at 702 ANNA WAY, STATESBORO, GA 304589101 (Tel: 8645808033)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2020

Surgery (License #83854 in GA)

📍

Updated Practice Location October 12, 2019

Registered at 1058 BERMUDA RUN, STATESBORO, GA 304580858 (Tel: 9128717100)

📍

Updated Business Mailing Address October 12, 2019

Registered at 1058 BERMUDA RUN, STATESBORO, GA 304580858 (Tel: 9128717100)

✅

NPI Profile Active March 26, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 26, 2017

Registered at 385 SERPENTINE DR, STE A, SPARTANBURG, SC 293033018 (Tel: 8643278214)

📍

Updated Business Mailing Address March 26, 2017

Registered at 385 SERPENTINE DR, STE A, SPARTANBURG, SC 293033018 (Tel: 8643278214)

👤

Provider Name / Credentials Updated March 26, 2017

Recorded as RAUL LUGO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2017

Surgery (License #2005-00498 in NC)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2017

Specialist (License #27417 in SC)

✅

NPI Profile Active March 16, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 16, 2016

Registered at 1455 E MAIN ST, SUITE 102, SPARTANBURG, SC 293072243 (Tel: 8643278214)

📍

Updated Business Mailing Address March 16, 2016

Registered at 1455 E MAIN ST, SUITE 102, SPARTANBURG, SC 293072243 (Tel: 8643278214)

👤

Provider Name / Credentials Updated March 16, 2016

Recorded as RAUL LUGO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2016

Specialist (License #27417 in SC)

🟢

Initial NPI Registration & Enumeration January 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801866322

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 25, 2006

Last Update: February 08, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 26666, Phs Provider Enrollment

Albuquerque, NM 871256666

Phone: 5757697577

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.