Active NPI 1003834409 Individual Practitioner Male Practitioner

Dr. Thomas R Lux , MD

Internal Medicine • Houston, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Lux, MD is a certified Internal Medicine practicing in Houston, TX. With approximately 36 years of clinical experience since graduating from University Of Texas Medical School At Houston in 1990, Dr. Lux delivers high-quality medical care to the local community at 1701 SUNSET BLVD.

Dr. Lux is affiliated with Medical Clinic Of Houston, Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, testosterone cypionate, 1 mg, established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1701 Sunset Blvd

Houston, TX 770051713

Telephone 7135265511

Fax 7135204755

Associated Practice Facility / Clinic

🏢 Medical Clinic Of Houston, L.l.p. Facility NPI 1972539492

Medicare Profile & Education

Medical School

University Of Texas Medical School At Houston

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +14.8 yrs vs City Avg

City Avg: 21.2 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

1569 Specialists

Practicing in Houston, TX (9538 Statewide)

Telehealth Adoption Rate

20.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

3.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lux (36 Years) 36 Yrs

Houston Specialty Average (21.2 Years) 21.2 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
J1071 Injection, testosterone cypionate, 1 mg	37,200	16	$0.02	$0.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	602	209	$129.88	$125.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	147	35	$14.49	$14.28
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	104	11	$0.99	$0.98
93000 Routine ekg using at least 12 leads including interpretation and report	83	75	$17.86	$14.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	75	75	$132.02	$129.37
77080 Dxa bone density measurement of hip, pelvis, spine	58	58	$39.11	$38.31
77089 Calculation of trabecular bone score (tbs) using imaging data with interpretation and report on fracture risk	51	51	$40.77	$40.21
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	37	32	$23.36	$23.09
90471 Administration of 1 vaccine	34	34	$20.51	$19.32
G0008 Administration of influenza virus vaccine	32	32	$31.92	$31.28
90653 Vaccine for influenza for injection into muscle	31	31	$83.83	$79.18
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	25	25	$295.04	$289.14
G0009 Administration of pneumococcal vaccine	25	25	$31.92	$31.28
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$92.59	$91.28
20610 Aspiration and/or injection of fluid from large joint	16	11	$75.79	$74.58
94010 Test to measure expiratory airflow and volume	13	13	$35.90	$27.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	28,140	12	$0.03	$0.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	655	223	$129.04	$126.10
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	143	34	$14.39	$14.32
93000 Routine ekg using at least 12 leads including interpretation and report	110	101	$14.69	$14.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	79	79	$131.21	$131.30
77080 Dxa bone density measurement of hip, pelvis, spine	43	43	$38.88	$38.99
90471 Administration of 1 vaccine	42	34	$20.51	$20.56
77089 Calculation of trabecular bone score (tbs) using imaging data with interpretation and report on fracture risk	42	42	$41.27	$41.34
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	34	31	$23.54	$23.59
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	32	14	$1.55	$1.53
G0009 Administration of pneumococcal vaccine	26	24	$31.92	$31.28
G0008 Administration of influenza virus vaccine	25	25	$31.92	$31.28
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	25	25	$74.18	$72.70
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	24	23	$242.90	$237.64
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$90.54	$85.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	36,700	17	$0.03	$0.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,045	465	$132.98	$131.18
93000 Routine ekg using at least 12 leads including interpretation and report	328	305	$14.91	$14.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	258	258	$136.09	$135.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	173	47	$14.92	$14.86
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	164	19	$1.15	$1.13
G0444 Annual depression screening, 5 to 15 minutes	88	88	$19.20	$19.31
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	69	52	$24.19	$24.18
G0009 Administration of pneumococcal vaccine	64	64	$30.92	$30.54
99213 Established patient office or other outpatient visit, typically 15 minutes	54	47	$94.08	$92.74
G0008 Administration of influenza virus vaccine	49	48	$30.92	$30.38
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	47	47	$282.51	$278.10
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	46	15	$1.72	$1.67
77080 Dxa bone density measurement of hip, pelvis, spine	46	46	$39.20	$38.15
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	42	41	$70.18	$68.94
90471 Administration of 1 vaccine	39	32	$17.42	$17.37
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	29	29	$174.00	$174.18
77089 Calculation of trabecular bone score (tbs) using imaging data with interpretation and report on fracture risk	22	22	$44.88	$40.40
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$173.61	$160.37
20610 Aspiration and/or injection of fluid from large joint	19	15	$75.12	$71.35
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	15	$54.88	$54.70
0003A Adm sarscov2 30mcg/0.3ml 3rd	13	13	$40.90	$40.58
91312 Coronavirus vaccine 13	13	13	$0.01	$0.01
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$133.47	$133.27
0124A Fee covid-19 vac 13 res	12	12	$40.00	$39.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	36,700	14	$0.03	$0.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,002	507	$134.40	$133.74
93000 Routine ekg using at least 12 leads including interpretation and report	369	354	$15.39	$15.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	285	285	$137.07	$137.07
G0444 Annual depression screening, 5 to 15 minutes	284	284	$19.36	$19.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	188	15	$1.28	$1.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	151	33	$14.69	$14.69
G0008 Administration of influenza virus vaccine	66	66	$17.37	$17.17
99213 Established patient office or other outpatient visit, typically 15 minutes	58	53	$94.83	$94.83
0003A Adm sarscov2 30mcg/0.3ml 3rd	46	46	$41.23	$41.23
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	46	46	$65.25	$65.25
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	44	35	$23.67	$23.67
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	33	33	$173.74	$173.74
77080 Dxa bone density measurement of hip, pelvis, spine	24	24	$39.95	$38.41
20610 Aspiration and/or injection of fluid from large joint	23	13	$87.39	$74.28
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	20	20	$29.90	$29.90
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$174.10	$161.97
G0009 Administration of pneumococcal vaccine	19	19	$17.16	$17.16
90471 Administration of 1 vaccine	18	18	$17.56	$17.56
0012A Adm sarscov2 100mcg/0.5ml2nd	16	16	$29.78	$29.02
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$125.06	$124.63
0011A Adm sarscov2 100mcg/0.5ml1st	12	12	$17.44	$17.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	36,304	17	$0.03	$0.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,137	529	$112.91	$111.49
93000 Routine ekg using at least 12 leads including interpretation and report	381	366	$17.77	$17.51
G0444 Annual depression screening, 5 to 15 minutes	280	280	$18.78	$18.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	279	279	$119.63	$119.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	165	43	$14.94	$14.68
99213 Established patient office or other outpatient visit, typically 15 minutes	159	123	$77.57	$76.40
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	144	13	$1.43	$1.43
G0008 Administration of influenza virus vaccine	109	107	$17.14	$17.08
77080 Dxa bone density measurement of hip, pelvis, spine	72	72	$40.83	$40.39
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	64	63	$28.94	$28.85
90662 Influenza vaccine split virus, preservative free	50	50	$58.30	$58.12
G0009 Administration of pneumococcal vaccine	49	49	$17.16	$16.99
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	44	15	$2.01	$1.99
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	40	40	$117.21	$115.94
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	37	37	$176.37	$175.96
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	26	26	$171.96	$158.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$170.30	$170.10
90670 Pneumococcal vaccine for injection into muscle	11	11	$224.50	$222.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	29,200	12	$0.03	$0.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,058	516	$111.90	$110.21
93000 Routine ekg using at least 12 leads including interpretation and report	364	344	$17.60	$17.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	302	302	$119.79	$117.90
G0444 Annual depression screening, 5 to 15 minutes	289	289	$18.63	$18.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	133	35	$17.14	$16.94
77080 Dxa bone density measurement of hip, pelvis, spine	128	128	$41.25	$40.30
99213 Established patient office or other outpatient visit, typically 15 minutes	127	100	$76.60	$75.40
G0008 Administration of influenza virus vaccine	126	121	$21.02	$16.82
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	116	13	$1.59	$1.56
99497 Advance care planning, first 30 minutes	82	82	$87.69	$86.37
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	74	74	$19.03	$18.65
90662 Influenza vaccine split virus, preservative free	53	52	$55.66	$54.55
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	43	15	$1.82	$1.79
G0009 Administration of pneumococcal vaccine	43	42	$21.06	$16.82
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	29	17	$42.35	$41.82
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	23	$112.06	$109.82
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	24	24	$176.78	$173.99
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	23	23	$171.37	$157.40
90670 Pneumococcal vaccine for injection into muscle	18	18	$213.06	$208.80
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	15	$54.79	$54.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	25,000	13	$0.03	$0.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	996	518	$111.19	$105.33
93000 Routine ekg using at least 12 leads including interpretation and report	373	353	$17.48	$16.69
99497 Advance care planning, first 30 minutes	348	348	$87.25	$82.97
G0444 Annual depression screening, 5 to 15 minutes	325	325	$18.60	$17.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	323	323	$120.72	$114.79
G0008 Administration of influenza virus vaccine	126	125	$25.65	$20.73
77080 Dxa bone density measurement of hip, pelvis, spine	120	120	$43.91	$41.22
99213 Established patient office or other outpatient visit, typically 15 minutes	114	95	$75.31	$71.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	110	33	$23.15	$20.15
90662 Influenza vaccine split virus, preservative free	102	102	$53.28	$52.15
G0009 Administration of pneumococcal vaccine	73	73	$25.85	$20.73
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	45	45	$107.51	$105.36
90670 Pneumococcal vaccine for injection into muscle	26	26	$201.27	$196.78
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	26	11	$2.03	$1.97
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	25	25	$19.03	$18.65
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	23	23	$172.25	$155.28
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	22	15	$42.88	$41.14
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$177.63	$168.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$149.58	$142.94
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	12	$55.37	$52.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	45,008	20	$0.03	$0.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	888	491	$110.57	$108.15
93000 Routine ekg using at least 12 leads including interpretation and report	361	342	$17.64	$17.08
99497 Advance care planning, first 30 minutes	322	320	$84.04	$82.47
G0444 Annual depression screening, 5 to 15 minutes	293	293	$18.52	$18.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	284	284	$119.14	$116.76
99213 Established patient office or other outpatient visit, typically 15 minutes	223	154	$75.10	$73.62
G0008 Administration of influenza virus vaccine	154	153	$26.10	$25.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	147	38	$27.07	$25.74
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	120	118	$18.78	$18.40
77080 Dxa bone density measurement of hip, pelvis, spine	114	114	$42.04	$41.20
G0009 Administration of pneumococcal vaccine	97	97	$25.79	$25.27
90670 Pneumococcal vaccine for injection into muscle	60	60	$188.78	$184.63
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	43	22	$42.68	$41.82
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	36	36	$97.37	$95.42
90662 Influenza vaccine split virus, preservative free	34	34	$49.03	$48.05
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$170.82	$151.82
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$175.88	$172.36
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	13	$55.19	$54.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$160.54	$146.28

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX J0083

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

136913411 (TX)

Commercial Insurance / Payer ID Bcbstx

8CH039 (TX)

Commercial Insurance / Payer ID Rr Medicare

P00836992

Hospital & Practice Group Affiliations

Medical Clinic Of Houston, Llp

1701 Sunset Blvd, Houston, TX 770051713

Phone: 7135265511

Practice Associates & Co-Workers

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

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Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 09, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 09, 2016

Registered at 1701 SUNSET BLVD, HOUSTON, TX 770051713 (Tel: 7135265511)

📍

Updated Business Mailing Address February 09, 2016

Registered at PO BOX 4767, HOUSTON, TX 772104767 (Tel: 7135265511)

👤

Provider Name / Credentials Updated February 09, 2016

Recorded as THOMAS LUX, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2016

Internal Medicine (License #J0083 in TX)

🟢

Initial NPI Registration & Enumeration July 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1003834409

Entity Type:

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

Enumeration Date: July 17, 2006

Last Update: February 09, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 4767

Houston, TX 772104767

Phone: 7135265511

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.