CHARLES JONATHAN LUGO (M.D.) – Diagnostic Radiology Physician, NPI 1033537857

CHARLES JONATHAN LUGO (M.D.) is a healthcare provider. based in Louisville, Kentucky. specializing in DIAGNOSTIC RADIOLOGY, INTERVENTIONAL RADIOLOGY, DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 312752 (NY). The NPI Number for CHARLES JONATHAN LUGO (M.D.) is 1033537857

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES JONATHAN LUGO (M.D.)
NPI
1033537857
Phone
(502) 629-7650
Address
231 E Chestnut St
Enumeration Date
29 March 2014
Last Update Date
14 November 2025

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
8505262200
Graduation Year
2014 (12 years ago)
PAC ID
1254752595
Group Practice PAC ID
8729059472
Professional Enrollment ID
I20200522000745
Address ID
FL324461917MA4250XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience84
Completeness85
Years active:12State licenses:5Digital endpointsOther names

596 DIAGNOSTIC RADIOLOGY in KY

Provider Addresses for CHARLES JONATHAN LUGO (M.D.)

  • 231 E Chestnut St

    Louisville, KY 402021821

    Phone: (502) 629-7650

    Fax: (502) 629-7653

    Type: Location

  • PO BOX 919336

    ORLANDO, FL 328910001

    Phone: (800) 841-4236

    Fax: (706) 653-1230

    Type: Mailing

  • 8900 N KENDALL DR

    MIAMI, FL 331762118

    Phone: (786) 596-1960

    Fax: (706) 653-1230

    Type: Location

  • 1025 S 6th St

    Springfield, IL 627032499

    Phone: (217) 528-7541

    Type: Location

  • 4250 Hospital Dr

    Marianna, FL 324461917

    Phone: (850) 718-2531

    Fax: (850) 718-2844

    Type: Location

  • 101 NICOLLS RD

    STONY BROOK, NY 117942118

    Phone: (631) 444-5400

    Fax: (631) 444-7538

    Type: Location

  • PO BOX 1559

    STONY BROOK, NY 117948460

    Phone: (631) 444-5400

    Fax: (316) 444-7538

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $3,133.

Total Amount is formed as General ($3,133) + Research ($0) + Ownership ($0) = $3,133.

Last reported payment date: 2024-11-29 • Largest payer in this snapshot: Inari Medical, Inc. ($2,045).

Total Amount

$3,133

General + Research + Ownership

Payments

45

Total payment records

General Amount

$3,133

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 9 Medicare enrollment records; no due dates published yet.

Enrollment records

9

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200522000745IDiagnostic RadiologyFLTBD
I20240404001560IInterventional RadiologyMNTBD
I20250304001810IInterventional RadiologyKYTBD
I20250806003092IDiagnostic RadiologyTXTBD
I20250924001622IInterventional RadiologyINTBD
I20251126001167IDiagnostic RadiologyAZTBD
I20251215002310IInterventional RadiologyILTBD
I20260102003641IDiagnostic RadiologyALTBD
I20260115003305IDiagnostic RadiologyNDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729059472View full group profile
NameSpecialtyState
General Surgery, General PracticeFL
Diagnostic RadiologyFL
O B S T E T R I C S/ G Y N E C O L O G YFL
Nurse PractitionerFL
-IN
Nurse PractitionerFL
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyTX

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Frequently asked questions

What is the standard ID for CHARLES JONATHAN LUGO (M.D.) in the U.S.?
In the U.S., CHARLES JONATHAN LUGO (M.D.) is identified by NPI 1033537857.
Should I treat CHARLES JONATHAN LUGO (M.D.) as an active provider?
Patients and plans typically see CHARLES JONATHAN LUGO (M.D.) as active in the national extract.
How should patients interpret CHARLES JONATHAN LUGO (M.D.)'s specialty?
The extract shows Diagnostic Radiology Physician for CHARLES JONATHAN LUGO (M.D.). Clinical services aligned with this taxonomy classification.
Is CHARLES JONATHAN LUGO (M.D.) tied to Louisville, Kentucky?
If you are local to Louisville, Kentucky, CHARLES JONATHAN LUGO (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.