DR. G. MICHAEL LOPEZ M.D.
NPI 1003973397
Internal Medicine in Las Vegas, NM

Active since January 03, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 32D0935354 · Waiver
96.13/100
CMS Quality Rating
105 MILLS AVE STE 300, LAS VEGAS, NM 87701(505) 425-9311(505) 425-9047 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. G. Michael Lopez M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. G. MICHAEL LOPEZ M.D. (NPI 1003973397) is an individual internal medicine provider in Las Vegas, New Mexico, licensed in New Mexico (NM81-77) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through October 27, 2027, and is affiliated with Christus St Vincent Regional Medical Center.

NPPES Registry Identity

NPI1003973397
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. G. MICHAEL LOPEZCredential: M.D.
Location Address105 MILLS AVE STE 300Las Vegas, NM 87701-4169
Mailing Address105 Mills Ave Ste 300Las Vegas, NM 87701-4169 · (505) 425-9311 · Fax (505) 425-9047
Fax(505) 425-9047
Sole ProprietorYes
Medical School CMSStanford University School Of MedicineGraduated 1978
Enumeration DateJanuary 3, 2007
Last NPPES UpdateMarch 5, 2025
NPPES CertifiedMarch 5, 2025
NPI 1003973397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NM · NM81-77
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License CNP-01651 (NM)
105 MILLS AVE STE 300, Las Vegas, NM 87701

Other Identifiers 5

OtherNM001568NM · Blue Cross Blue Shield
MedicaidNM00007070NM
Other1991NM · Lovelace
Other50013NM · Hmo Of New Mexico
Other201006000NM · Presbyterian Health Plan

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. G. Michael Lopez M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678753779
PECOS Enrollment IDI20110207000751
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D0935354

G Michael Lopez MD · Las Vegas, NM
Active · expires Oct 27, 2027
CLIA Number32D0935354
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorMichael G. Lopez
Laboratory Phone(505) 485-9311
Laboratory LocationG Michael Lopez MD105-Mills #300, Las Vegas, NM 87701
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
826 services342 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
380 services206 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
171 services171 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
143 services135 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
132 services124 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
112 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320002
Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County
Emergency services Birthing friendly

Lovelace Women's Hospital

Acute Care Hospitals · Albuquerque, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320017
Location4701 Montgomery Boulevard NEAlbuquerque, NM 87109 · Bernalillo County
Emergency services Birthing friendly

Alta Vista Regional Hospital

Critical Access Hospitals · Las Vegas, NM
OwnershipProprietary
CMS Certification Number321312
Location104 Legion DriveLas Vegas, NM 87701 · San Miguel County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95.83
Improvement Activities40
Cost85.9

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
84%43 patients1/55-star benchmark: 100%
Advance Care Plan
12%695 patients1/55-star benchmark: 100%
Breast Cancer Screening
42%293 patients2/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
5%380 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
22%755 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
84%518 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
24%343 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
24%343 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
93%4,865 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
83%669 patients4/55-star benchmark: 100%
HIV Screening
8%560 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
61%1,032 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
39%1,812 patients3/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%444 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 657 patients
Patients totalRate: 15% · 705 patients
15%705 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 23

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers14 claims155 services$18.85 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers14 claims385 services$2.42 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers98 claims262 services$5.49 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers30 claims33 services$0.94 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers33 claims33 services$93.86 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers39 claims95 services$41.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
105 MILLS AVE STE 300
LAS VEGAS, NM 87701
Internal Medicine
105 MILLS AVE STE 300
LAS VEGAS, NM 87701
Nurse Practitioner
105 MILLS AVE STE 300
LAS VEGAS, NM 87701
Family Medicine
105 MILLS AVE STE 300
LAS VEGAS, NM 87701
Nurse Practitioner
105 MILLS AVE STE 300
LAS VEGAS, NM 87701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is G. Michael Lopez's NPI number?

The NPI number for G. Michael Lopez is 1003973397. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is G. Michael Lopez located?

G. Michael Lopez practices at 105 Mills Ave Ste 300, Las Vegas, NM 87701. The listed phone number is (505) 425-9311.

What is G. Michael Lopez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is G. Michael Lopez enrolled in Medicare?

Yes. G. Michael Lopez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does G. Michael Lopez hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D0935354) is associated with this NPI, valid through October 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does G. Michael Lopez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list G. Michael Lopez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is G. Michael Lopez affiliated with any hospitals?

According to CMS data, G. Michael Lopez is affiliated with Christus St Vincent Regional Medical Center, Lovelace Women's Hospital and Alta Vista Regional Hospital.

When was this NPI record last updated?

The NPPES record for G. Michael Lopez was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.