Dr. Carlos Lugo, MD
- Medicare services, 2024
- 199
- Medicare patients, 2024
- 129
- Part D claims, 2024
- 74
- MIPS score, 2024
- 84
- Hospital affiliations
- 3
- Practice address
- 1115 S Sunset Ave, West Covina, CA 91790
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Queen of the Valley Hospital - Unit
Acute Care Hospital-Unit · West Covina, California
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Dr. Carlos Lugo is an orthopedic surgeon in West Covina, California
Dr. Lugo practices at Queen of the Valley Hospital - Unit in West Covina, California.
Dr. Lugo's NPI, 1740226828, was assigned on June 20, 2006. Dr. Lugo graduated from UC Irvine School of Medicine in 1981. Dr. Lugo holds California license G49116.
- NPI
- 1740226828NPI Registry (opens in a new tab)
- Medicare PAC ID
- 8921070764
- NPI enumeration date
- June 20, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 71
- Medical school graduation
- 1981
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Carlos Lugo practices at Queen of the Valley Hospital - Unit in West Covina, California
Dr. Lugo's primary practice is Queen of the Valley Hospital - Unit, at 1115 S Sunset Ave, West Covina, CA 91790.
- Queen of the Valley Hospital - Unit1115 S Sunset Ave, West Covina, CA 91790
Source: Dmand AI Affiliation Data
Dr. Carlos Lugo is affiliated with 3 sites of care and 2 medical groups
Dr. Lugo's primary practice is Queen of the Valley Hospital - Unit in West Covina, California. Dr. Lugo is also affiliated with Emanate Health Inter-Community Hospital. The medical group on file is Emanate Health Medical Group. Dmand AI also links Dr. Lugo to 1 more hospital and 1 medical group, each named with a free account.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Carlos Lugo's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Lugo practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Queen of the Valley Hospital - Unit | Available with a free account |
| +2 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Carlos Lugo is one of 2,056 orthopedic surgeons in California
Orthopaedic surgery is Dr. Lugo's primary specialty in the NPI Registry, under taxonomy code 207X00000X. Dmand AI has Dr. Lugo's licenses on file in 2 states: California and Texas.
Specialties and state licenses
- Orthopaedic surgery, CaliforniaPrimary
- Texas license
Clinical focus
Dmand AI lists arthritis, broken or dislocated ankle/ or foot, bursitis, hand joint or tendon inflammation, hip replacement, joint pain, knee injury and knee replacement among the conditions Dr. Lugo treats.
Orthopedic surgeons near Dr. Lugo
Counts of orthopedic surgeons with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Carlos Lugo billed Medicare for 199 services in 2024
CMS data shows 199 Medicare services from Dr. Lugo across 5 procedure codes in 2024, for 129 Medicare patients. Medicare paid $12,013 for them.
Dr. Lugo's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 1702024: 1587%
- Imaging
- 2023: 552024: 4125%
- Surgery
- 2023: 172024: 0100%
Where Dr. Lugo's Medicare services took place, 2024
- In an office179%
- In a facility18291%
Dr. Lugo compared with the California median for orthopedic surgeons, 2024
- Dr. Lugo
- California median
- Medicare services
- 199vs 68371% below
- Medicare patients
- 129vs 21540% below
- Part D claims
- 40vs 7043% below
Medians across 1,844 orthopedic surgeons in California with Dmand AI profiles that report each measure.
Dr. Lugo's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Lugo and other orthopedic surgeons in California.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Carlos Lugo treated 129 Medicare patients in 2024, average age 73
CMS counts 129 Medicare patients who saw Dr. Lugo in 2024. The largest group is 65 to 74, with 69 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 53% are also on Medicaid. Their average risk score is 1.47, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Lugo's median patient age at 57, with 63% women.
Dr. Lugo's Medicare patients by age, 2024
Dr. Lugo's Medicare patients by sex, 2024
- Women9070%
- Men3930%
Chronic conditions among Dr. Lugo's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis70%
- Diabetes53%
- Chronic kidney disease29%
- Mood disorders27%
- Depression23%
- Anxiety22%
Share of Medicare patients with each condition. A patient can have several.
Dr. Lugo's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 57
Patient panel by sex, all payers
- Women63%
- Men37%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Carlos Lugo wrote 74 Medicare Part D claims in 2024
In 2024, Dr. Lugo wrote 74 Medicare Part D claims for 49 patients. 96% of them were for generic drugs. CMS names the drug for 40 of them, across 3 drugs with 11 or more claims each, at $272 in total drug cost. In 2023, CMS named 71 claims across 2 drugs.
Dr. Lugo's Part D claims by kind of drug, 2024
- Generic71 claims96%
- Brand-name and other3 claims4%
Dr. Lugo's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Lugo's Part D claims, 2024
- Opioids32%24 of 74 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 712024: 4044%
Drugs named by CMS: 3 in 2024, 2 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Carlos Lugo scored 84 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 84 out of 100 for Dr. Lugo for performance year 2024, reported as part of a group. Dr. Lugo accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. Lugo's MIPS scores, performance year 2024
- 84of 100Final score
- 60of 100Quality
- 87of 100Promoting Interoperability
- 40of 100Improvement Activities
- 69of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Carlos Lugo received $3,468 in industry payments from 2016 to 2025
CMS Open Payments shows 20 general payments to Dr. Lugo from 8 drug and device companies from 2016 to 2025. Education make up the largest share, 74% of the total. Arthrex, Inc. paid the most, $2,624.
General payments to Dr. Lugo by program year, 2016 to 2025
General payments to Dr. Lugo by kind, 2016 to 2025
- Education$2,58174%
- Food and beverage$88726%
Companies that paid Dr. Lugo the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Carlos Lugo graduated from UC Irvine School of Medicine
Dr. Lugo graduated from UC Irvine School of Medicine in 1981.
- Medical school
Source: Dmand AI Professional Profile Data
Dr. Carlos Lugo accepts plans from 17 insurance carriers
Dr. Lugo is in network with 17 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. Medicare plans come from the most carriers, 10. Check the plan with the practice before a visit.
- Aetna
- Blue Cross Blue Shield of Michigan
- United Healthcare
- Elevance
- HCSC
- Humana
- LA Care
- Blue Cross Blue Shield of Massachusetts
- +9 more carriersWith a free account
Plan types Dr. Lugo accepts, by number of carriers
- Medicare10
- PPO10
- HMO9
- EPO4
- POS4
- Medicaid1
Source: Dmand AI Insurance Network Data
Sources for Dr. Carlos Lugo's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Carlos Lugo
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Carlos Lugo's NPI number?
Dr. Carlos Lugo's NPI number is 1740226828. It was assigned on June 20, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Carlos Lugo?
Dr. Carlos Lugo is an orthopedic surgeon in West Covina, California. The primary specialty in the NPI Registry is Orthopaedic Surgery Physician (taxonomy code 207X00000X).
Where does Dr. Carlos Lugo practice?
Dr. Lugo practices at 1115 S Sunset Ave, West Covina, CA 91790. Dr. Lugo's primary practice is Queen of the Valley Hospital - Unit in West Covina, California. Dmand AI also links Dr. Lugo to 1 hospital and 1 medical group.
What is Dr. Carlos Lugo's medical license number?
Dr. Lugo holds California license G49116, one of the licenses on file in 2 states.
Which states has Dr. Carlos Lugo been licensed in?
Dmand AI has state licenses on file for Dr. Lugo in California (1982 to 2026) and Texas (1973 to 2017).
Which hospitals is Dr. Carlos Lugo affiliated with?
Dr. Lugo is affiliated with Emanate Health Inter-Community Hospital. Dmand AI links Dr. Lugo to 2 more hospitals.
What medical group is Dr. Carlos Lugo part of?
Dr. Lugo is linked to Emanate Health Medical Group. Dmand AI links Dr. Lugo to 1 more medical group.
Does Dr. Carlos Lugo accept Medicare?
Yes. CMS data shows Dr. Lugo billed Medicare for 199 services in 2024, and Dr. Lugo accepts Medicare assignment.
What is Dr. Carlos Lugo's MIPS score?
Dr. Lugo's MIPS final score for performance year 2024 is 84 out of 100, reported as part of a group.
How many Medicare patients does Dr. Carlos Lugo see?
CMS counts 129 Medicare patients who saw Dr. Lugo in 2024, with an average age of 73.
Show 6 more questionsShow fewer questions
What services does Dr. Carlos Lugo bill to Medicare?
In 2024, Dr. Lugo's most billed Medicare services were office visit, established patient (99213), office visit, new patient (99204) and office visit, established patient (99214).
Where did Dr. Carlos Lugo go to medical school?
Dr. Lugo graduated from UC Irvine School of Medicine in 1981.
What drugs does Dr. Carlos Lugo prescribe most?
In 2024 Medicare Part D data, Dr. Lugo's most prescribed drugs by claims were Diclofenac Sodium, Hydrocodone-Acetaminophen and Ibuprofen.
Has Dr. Carlos Lugo received payments from drug or device companies?
CMS Open Payments shows $3,468 in general payments to Dr. Lugo from 8 companies from 2016 to 2025. The largest total came from Arthrex, Inc.
How long has Dr. Carlos Lugo been practicing?
Dr. Lugo graduated from medical school in 1981, 45 years ago.
What insurance does Dr. Carlos Lugo accept?
Dr. Lugo is in network with 17 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. Medicare plans come from the most carriers, 10. Check the plan with the practice before a visit.
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