Active NPI 1649239286 Individual Practitioner Male Practitioner

Dr. Luis A. Concepcion , MD

Internal Medicine - Nephrology • Temple, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Luis Concepcion, MD is a certified Internal Medicine - Nephrology practicing in Temple, TX. With approximately 40 years of clinical experience since completing medical education in 1986, Dr. Concepcion delivers high-quality medical care to the local community at 2401 S 31ST ST.

Dr. Concepcion is affiliated with Scott And White Clinic and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2401 S 31st St

Temple, TX 765080001

Telephone 2547242111

Associated Practice Facility / Clinic

🏢 Scott & White Clinic Facility NPI 1962468355

Medicare Profile & Education

Medical School

Other

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Temple, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +10.7 yrs vs City Avg

City Avg: 29.3 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

20 Specialists

Practicing in Temple, TX (1192 Statewide)

Telehealth Adoption Rate

45.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

59.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Concepcion (40 Years) 40 Yrs

Temple Specialty Average (29.3 Years) 29.3 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
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	207	127	$280.00	$133.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	187	47	$201.00	$111.39
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	166	112	$32.29	$15.74
90966 Home dialysis services per month, patient 20 years of age or older	89	15	$799.00	$278.78
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	80	12	$950.00	$335.73
99451 Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes	36	36	$94.00	$33.44
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	35	35	$399.00	$172.99
36415 Insertion of needle into vein for collection of blood sample	30	12	$24.00	$8.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	24	$267.00	$124.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	23	$209.00	$90.82

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	214	144	$210.37	$92.01
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	120	15	$950.00	$332.05
90935 Hemodialysis procedure with physician evaluation	114	38	$242.00	$68.68
90966 Home dialysis services per month, patient 20 years of age or older	95	13	$799.00	$279.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	27	$139.00	$76.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	45	$280.00	$130.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	33	18	$201.00	$114.36
99451 Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes	31	31	$94.00	$34.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	27	$267.00	$124.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$399.00	$167.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$322.00	$127.94

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	255	138	$209.00	$93.44
90935 Hemodialysis procedure with physician evaluation	182	50	$242.00	$69.10
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	133	18	$950.00	$341.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	98	38	$201.00	$96.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$322.00	$130.41
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$197.00	$95.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	230	25	$950.00	$351.00
90935 Hemodialysis procedure with physician evaluation	211	67	$242.00	$71.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	210	134	$209.00	$95.17
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	163	63	$201.00	$98.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	30	$267.00	$127.24
36415 Insertion of needle into vein for collection of blood sample	23	12	$24.00	$3.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$322.00	$132.40
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$142.00	$65.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	297	31	$950.00	$284.60
90935 Hemodialysis procedure with physician evaluation	286	82	$242.00	$73.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	224	143	$209.00	$77.77
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	179	79	$201.00	$103.73
90966 Home dialysis services per month, patient 20 years of age or older	92	12	$799.00	$227.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$322.00	$125.85
99221 Initial hospital inpatient care per day, typically 30 minutes	28	28	$197.00	$101.05
36415 Insertion of needle into vein for collection of blood sample	23	16	$24.00	$2.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	12	$267.00	$134.89
99443 Telephone medical discussion with physician, 21-30 minutes	11	11	$78.00	$77.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	287	34	$950.00	$280.75
90935 Hemodialysis procedure with physician evaluation	252	67	$242.00	$71.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	241	154	$209.00	$76.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	153	78	$201.00	$99.57
90966 Home dialysis services per month, patient 20 years of age or older	125	15	$799.00	$235.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$322.00	$127.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	26	$267.00	$135.05
36415 Insertion of needle into vein for collection of blood sample	25	16	$24.00	$2.94
90945 Dialysis procedure including 1 evaluation	23	11	$286.00	$84.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$399.00	$166.05
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$197.00	$99.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90970 Dialysis services, per day, less than full month service (20 years or older)	473	16	$27.06	$7.57
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	332	38	$950.00	$276.16
90935 Hemodialysis procedure with physician evaluation	328	111	$242.00	$69.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	286	125	$201.00	$101.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	213	144	$209.00	$75.90
90966 Home dialysis services per month, patient 20 years of age or older	170	21	$799.00	$231.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	80	76	$267.00	$133.29
90945 Dialysis procedure including 1 evaluation	76	29	$286.00	$83.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$322.00	$125.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90970 Dialysis services, per day, less than full month service (20 years or older)	491	15	$27.00	$7.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	410	182	$201.00	$101.00
90935 Hemodialysis procedure with physician evaluation	392	140	$242.00	$70.19
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	298	35	$950.00	$274.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	289	174	$209.00	$75.72
90966 Home dialysis services per month, patient 20 years of age or older	160	20	$799.00	$227.94
90945 Dialysis procedure including 1 evaluation	90	44	$286.00	$82.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	88	85	$267.00	$130.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$322.00	$122.72
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	19	18	$800.00	$230.09
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$197.00	$98.16

Medical Specialties & State Licenses

CMS Verified: 2021-01-13

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License TX L0097

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1191272-02 (TX)

Commercial Insurance / Payer ID Blue Shield

87438Y (TX)

Commercial Insurance / Payer ID Cshcn

1191272-03 (TX)

Commercial Insurance / Payer ID Rr/medicare

390007169 (TX)

Hospital & Practice Group Affiliations

Scott And White Clinic

5330 Overpass Rd, Buda, TX 786102300

Scott And White Clinic

7451 W State Hwy 29, Georgetown, TX 786286849

Phone: 5125098700

Scott And White Clinic

2401 S 31st St Bldg, Temple, TX 765080001

Phone: 2547242663

Scott And White Clinic

2401 S 31st St, Temple, TX 765080001

Phone: 2547242459

Scott And White Clinic

239 W Business, Copperas Cove, TX 765222912

Phone: 2545429000

Scott And White Clinic

1300 E Polk St, Burnet, TX 786112136

Phone: 5127156400

Scott And White Clinic

810 W U Ave, Temple, TX 765080001

Phone: 2547242585

Scott And White Clinic

1605 S 31st St, Temple, TX 765080001

Phone: 2542150100

Scott And White Clinic

2601 Thornton Ln, Temple, TX 765021808

Phone: 2547246622

Practice Associates & Co-Workers

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

40 Associated Practitioners

Christina Karimi , PA

Physician Assistant

NPI 1003066796

Physician Assistant

Jessica Lehman , PT

Physical Therapist

NPI 1003114562

Physical Therapist

Dr. John David Seno , MD

Physical Medicine & Rehabilitation

NPI 1003178146

Doctor of Medicine (M.D.)

Nicholas Smith , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003188699

Certified Registered Nurse Anesthetist

Dr. Barry Chamberlin , MD

Radiology - Diagnostic Radiology

NPI 1003203951

Doctor of Medicine (M.D.)

Kamia Scroggins Fasheun , FNP

Nurse Practitioner

NPI 1003421744

Family Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address January 13, 2021

Registered at PO BOX 844658, DALLAS, TX 752844658 (Tel: 2547248800)

✅

NPI Profile Active August 02, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 02, 2012

Registered at 2401 S 31ST ST, TEMPLE, TX 765080001 (Tel: 2547242111)

📍

Updated Business Mailing Address August 02, 2012

Registered at PO BOX 847408, DALLAS, TX 752847408 (Tel: 2547242111)

👤

Provider Name / Credentials Updated August 02, 2012

Recorded as LUIS CONCEPCION, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2012

Internal Medicine (License #L0097 in TX)

🟢

Initial NPI Registration & Enumeration March 22, 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: 1649239286

Entity Type:

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

Enumeration Date: March 22, 2006

Last Update: January 13, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 844658

Dallas, TX 752844658

Phone: 2547248800

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.