NPI registry status
Active
2026 NPPES data Surgery Physician NPI 1245224492 MD
Verify on CMS → Rafael Lugo, MD
Surgery Physician in Shenandoah, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 36,199 in Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
88
Medicare Part D claims · 68 beneficiaries · Surgery Physician avg: 169
Industry payments
$179.79
2 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Rafael Lugo, MD filed 88 Medicare Part D claims in 2023 as a Surgery Physician in Shenandoah, Texas.
- 88
- Part D claims, 2023
- $179.79
- industry payments (Sunshine Act)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Rafael Lugo, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
88 0th percentile higher than 0% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
◑
Board-eligible specialty (heuristic, not verified)
Rafael Lugo, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Rafael Lugo, MD?
Quality data not reportedPrimary specialty
Surgery Physician
Medicare Part D claims
88 48% vs specialty avg
Specialty distribution in Texas
How Surgery Physician compares to other specialties among Texas providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Surgery Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Rafael Lugo, MD appears in the CMS NPPES registry as a Surgery Physician provider holding MD credentials at 17189 I 45 S STE 275, Shenandoah, TX, 77385, with a listed phone of (832) 377-5846. NPI 1245224492 was issued on 09/02/2005.
Medicare Part D records for calendar year 2023 show 88 prescription claims written by this provider, covering 68 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 69.3%.
Surgery Physician is a mid-sized specialty nationwide, with 36,199 enrolled providers across 56 states and an average of 169 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1245224492 |
|---|---|
| Specialty | Surgery Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 09/02/2005 |
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Rafael Lugo, MD. Source: openpaymentsdata.cms.gov.
Total received
$180
Largest payer
INTUITIVE SURGICAL, INC.
Most common payment type
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - Texas TMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to Rafael Lugo, MD. To verify Rafael Lugo, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
88
Total Claims
$2K
Total Drug Cost
68
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 98
- Total Day Supply
- 854
- Generic Drug Cost
- $1K
- Opioid Claims
- 61 (69.3% rate)
Patient Demographics
- Average Patient Age
- 70.5 years
- Avg HCC Risk Score
- 0.97
- Gender Split
- 43% female / 57% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 60 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Surgery Physician Overview
How Rafael Lugo, MD fits within the Surgery Physician landscape nationally.
36,199
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider
Rafael Lugo, MD's 88 claims are below the specialty average of 169.
Nearby Surgery Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Lugo.
Dr. Alan Abando
M.D.
Cedar Park, TX
Dr. Aaron Abarbanell
MD
San Antonio, TX
Dr. Paulette Abbas
M.D.
Dallas, TX
Dr. Babak Abbassi
M.D.
Greenville, TX
Dr. Steven Abbate
MD
San Antonio, TX
Compare Surgery Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
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How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Texas
Frequently Asked Questions
What is Rafael Lugo, MD's specialty? ▼
Rafael Lugo, MD specializes in Surgery Physician and practices in Shenandoah, Texas. Credentials: MD.
How much does Rafael Lugo, MD prescribe under Medicare Part D? ▼
In 2023, Rafael Lugo, MD wrote 88 Medicare Part D claims totaling $2K in drug costs for 68 beneficiaries.
Where is Rafael Lugo, MD located? ▼
Rafael Lugo, MD is located at 17189 I 45 S STE 275, Shenandoah, TX, 77385. Phone: (832) 377-5846.
What is Rafael Lugo, MD's NPI number? ▼
Rafael Lugo, MD's National Provider Identifier (NPI) is 1245224492, issued on 09/02/2005.
Does Rafael Lugo, MD prescribe opioids? ▼
Yes, Rafael Lugo, MD had 61 opioid claims in 2023 with an opioid prescribing rate of 69.3%.
How many Surgery Physician providers are there in the US? ▼
There are 36,199 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does Rafael Lugo, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Rafael Lugo, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rafael Lugo, MD accept Medicare? ▼
Rafael Lugo, MD appears in CMS Medicare data with 88 Part D claims and 68 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rafael Lugo, MD's credentials? ▼
Rafael Lugo, MD's NPI is 1245224492 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.