Active NPI 1578639621 Individual Practitioner Male Practitioner

Dr. Sergio Andres Lara , MD

Internal Medicine • Plainview, TX

Professional Overview & Biography Verified Profile Summary

Dr. Sergio Lara, MD is a certified Internal Medicine practicing in Plainview, TX. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Lara delivers high-quality medical care to the local community at 2606 YONKERS ST.

Dr. Lara maintains professional affiliations with Covenant Medical Group, Methodist Hospital Plainview Texas and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, follow-up hospital inpatient care per day, hospital discharge day management. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2606 Yonkers St

Plainview, TX 790721851

Telephone 8062915121

Fax 8062915122

Associated Practice Facility / Clinic

🏢 Sidney Ontai Md Association Facility NPI 1528130937

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Plainview, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +10.5 yrs vs City Avg

City Avg: 19.5 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

3 Specialists

Practicing in Plainview, TX (9538 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

42.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lara (30 Years) 30 Yrs

Plainview Specialty Average (19.5 Years) 19.5 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	76	37	$119.00	$71.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	20	$87.00	$44.70
99238 Hospital discharge day management, 30 minutes or less	43	38	$145.00	$73.15
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	42	13	$80.00	$67.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	22	$218.00	$118.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	67	33	$119.00	$72.22
99238 Hospital discharge day management, 30 minutes or less	43	37	$145.00	$73.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	18	$87.00	$45.21
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	31	11	$80.00	$67.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$218.00	$118.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	89	40	$119.00	$64.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	85	33	$87.00	$35.08
99238 Hospital discharge day management, 30 minutes or less	57	46	$145.00	$65.42
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	36	18	$55.42	$54.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	21	$218.00	$122.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	86	31	$117.62	$65.90
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	70	23	$65.00	$63.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	54	21	$87.00	$35.34
99238 Hospital discharge day management, 30 minutes or less	40	34	$145.00	$66.33
99217 Hospital observation care on day of discharge	29	27	$125.69	$66.33
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	27	19	$89.26	$83.43
99225 Subsequent observation care, typically 25 minutes per day	23	15	$114.74	$65.52
99219 Hospital observation care, typically 50 minutes	16	16	$205.00	$123.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	186	56	$119.00	$67.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	106	43	$87.00	$36.75
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	87	34	$65.29	$64.47
99238 Hospital discharge day management, 30 minutes or less	71	57	$145.00	$67.93
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	45	27	$89.78	$84.97
99217 Hospital observation care on day of discharge	21	20	$125.00	$68.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$218.00	$127.69
99225 Subsequent observation care, typically 25 minutes per day	15	12	$120.00	$68.15
99219 Hospital observation care, typically 50 minutes	12	12	$205.00	$127.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	176	62	$87.00	$36.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	169	70	$119.00	$67.21
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	157	52	$65.00	$63.55
99238 Hospital discharge day management, 30 minutes or less	122	93	$145.00	$67.34
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	50	30	$90.00	$84.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	29	$218.00	$126.42
99217 Hospital observation care on day of discharge	14	14	$125.00	$67.34

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	306	229	$96.00	$94.67
99231 Follow-up hospital inpatient care per day, typically 15 minutes	221	70	$87.39	$34.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	217	83	$119.00	$63.60
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	167	61	$65.00	$60.38
99238 Hospital discharge day management, 30 minutes or less	136	101	$145.74	$63.75
99213 Established patient office or other outpatient visit, typically 15 minutes	80	70	$75.00	$67.69
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	43	34	$90.00	$80.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$218.00	$119.48
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	29	29	$80.00	$78.72
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	19	$10.00	$9.86
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	13	$164.00	$91.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$150.00	$135.91

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	1,101	484	$97.38	$94.64
99213 Established patient office or other outpatient visit, typically 15 minutes	333	254	$76.00	$67.64
99231 Follow-up hospital inpatient care per day, typically 15 minutes	258	89	$86.29	$33.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	227	105	$119.00	$62.23
99238 Hospital discharge day management, 30 minutes or less	200	138	$145.00	$62.33
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	124	124	$20.00	$18.65
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	117	40	$65.00	$59.54
J0696 Injection, ceftriaxone sodium, per 250 mg	96	22	$25.00	$0.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	82	65	$10.00	$9.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	82	71	$218.00	$117.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	59	55	$147.97	$133.04
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	55	33	$89.55	$78.39
J1030 Injection, methylprednisolone acetate, 40 mg	29	18	$12.00	$6.15
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	26	16	$10.00	$2.09
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	13	$156.87	$89.02
J1885 Injection, ketorolac tromethamine, per 15 mg	23	19	$25.00	$0.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$165.00	$152.51

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX L3371

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

169966204 (TX)

Commercial Insurance / Payer ID Npi For Group Practice

1205070398 (TX)

Hospital & Practice Group Affiliations

Covenant Medical Group

2215 Nashville Ave, Lubbock, TX 794101105

Phone: 8067255844

Methodist Hospital Plainview Texas

2601 Dimmitt Rd, Plainview, TX 790721833

Phone: 8062964251

Covenant Medical Group

3614 23rd St, Lubbock, TX 794101326

Phone: 8067258787

Methodist Hospital Plainview Texas

1208 N, Plainview, TX 790723937

Phone: 8062915112

Methodist Hospital Plainview Texas

2606 Yonkers St, Plainview, TX 790721851

Phone: 8062935113

Methodist Hospital Plainview Texas

1806 Quincy St, Plainview, TX 790724206

Phone: 8062887891

Covenant Medical Group

3612 23rd St, Lubbock, TX 794101326

Phone: 8067938787

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Kevin Jones , DO

Internal Medicine - Cardiovascular Disease

NPI 1003881343

Doctor of Osteopathic Medicine (D.O.)

Matthew Flores , FNP

Nurse Practitioner - Family

NPI 1952886863

Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 17, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 17, 2015

Registered at 2606 YONKERS ST, PLAINVIEW, TX 790721851 (Tel: 8062915121)

📍

Updated Business Mailing Address April 17, 2015

Registered at 2606 YONKERS ST, PLAINVIEW, TX 790721851 (Tel: 8062915121)

👤

Provider Name / Credentials Updated April 17, 2015

Recorded as SERGIO LARA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2015

Internal Medicine (License #L3371 in TX)

🟢

Initial NPI Registration & Enumeration November 28, 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: 1578639621

Entity Type:

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

Enumeration Date: November 28, 2006

Last Update: April 17, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2606 Yonkers St

Plainview, TX 790721851

Phone: 8062915121

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.