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

Q: 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.

Q: What is Fernando Lopez's specialty?

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

Q: 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.

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: August 09, 2026.

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

On this page

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

Phone(305) 442-2020

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

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Other Identifiers 1

Medicaid115871100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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. 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.

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

Quality

96.41

Promoting Interoperability

Improvement Activities

Cost

67.21

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.

What insurance does Fernando Lopez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 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.