Luis Tous, M.D.
NPI 1912108465 · Colon & Rectal Surgery Physician · San Juan, PR
Enrolled with Medicare as Practitioner - Colorectal Surgery (proctology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Luis Tous, M.D. is a Colon & Rectal Surgery Physician provider in San Juan, PR (NPI 1912108465).
Provider details
- NPI number
- 1912108465
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 17606 (PR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
132 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 47 | $126 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 31 | $165 |
| Use of a Drug to Induce Depression of Consciousness By Physician Performing a Procedure (5 Years Or Older), Initial 15 Minutes99152 | 21 | $49 |
| Use of a Drug to Induce Depression of Consciousness By Physician Performing a Procedure, Each Additional 15 Minutes99153 | 21 | $11 |
| Diagnostic Exam of Large Bowel Using a Flexible Endoscope45378 | 12 | $292 |
Typical Medicare-allowed amounts for these services range $11–$292 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Naloxone Hcl | 342 | 335 |
| Midazolam Hcl | 131 | 129 |
| Flumazenil | 105 | 102 |
| Midazolam Hcl/Pfbrand: Midazolam Hcl | 97 | 95 |
| Fentanyl Citrate/Pfbrand: Fentanyl Citrate | 95 | 92 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 80 | 80 |
| Celecoxib | 32 | 31 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$956 across 10 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-31
- Last updated
- 2021-03-03
- Certified
- 2021-03-03
Frequently asked questions
- What is Luis Tous's NPI number?
- Luis Tous's National Provider Identifier (NPI) is 1912108465, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Luis Tous's specialty?
- Luis Tous is listed in the NPPES registry with a primary specialty of Colon & Rectal Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Luis Tous located?
- Luis Tous's practice location on file with NPPES is 400 Ave Fd Roosevelt, San Juan, PR 00918-2129.
- What is Luis Tous's phone number?
- The practice phone number listed in the NPPES registry for Luis Tous is (787) 724-9595.
- Does Luis Tous accept Medicare?
- Luis Tous is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Luis Tous's NPI active?
- Yes — Luis Tous's NPI (1912108465) is active in the NPPES registry as of the last update on 2021-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.