DR. FERNANDO LOPEZ M.D.
NPI 1013941657
Ophthalmology in Miami, FL

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
93.58/100
CMS Quality Rating
1097 SW 42ND AVE FL 3, MIAMI, FL 33134(305) 442-2020 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 19, 2024, Jul 8, 2023, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Dr. Fernando Lopez M.d. NPPES

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

DR. FERNANDO LOPEZ M.D. (NPI 1013941657) is an individual ophthalmology provider in Miami, Florida, licensed in Florida (ME80092) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1013941657
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. FERNANDO LOPEZCredential: M.D.
Location Address1097 SW 42ND AVE FL 3Miami, FL 33134-2639
Mailing Address1097 Sw 42nd AveCoral Gables, FL 33134-2639 · Fax (888) 845-1002
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 10, 2006
Last NPPES UpdateJune 19, 20244 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
✔ NPI 1013941657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in FL · ME80092✔ Licensed in IL · 036104977
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1097 SW 42ND AVE FL 3, Miami, FL 33134

Other Identifiers 1

Medicaid115871100FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Fernando 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 ID8224926993
PECOS Enrollment IDI20170517001727
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.

Medicare Billing Reassignment

Medicare enrollment records show Fernando Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
1097 S LE JEUNE RD, 3RD FLOOR
Coral Gables, FL 33134
  • Reassigned Medicare billing, Florida enrollment
  • 40 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
24 services23 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
18 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33134 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
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.

93.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.41
Promoting Interoperability78
Improvement Activities40
Cost67.21

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 Fernando Lopez's NPI number?

The NPI number for Fernando Lopez is 1013941657. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Fernando Lopez located?

Fernando Lopez practices at 1097 SW 42nd Ave Fl 3, Miami, FL 33134. The listed phone number is (305) 442-2020.

What is Fernando Lopez's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Fernando Lopez enrolled in Medicare?

Yes. Fernando 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.

Which organization bills Medicare for Fernando Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fernando Lopez reassigns Medicare benefits to Aran Eye Associates PA (Coral Gables, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fernando Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fernando Lopez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Cigna HealthCare of Florida, Inc. and 5 other insurers list Fernando 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.

When was this NPI record last updated?

The NPPES record for Fernando Lopez was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.