DR. WILLIAM C LOPEZ M.D.
NPI 1013998228
Internal Medicine - Gastroenterology in Birmingham, AL

Q: What is William Lopez's NPI number?

The NPI number for William Lopez is 1013998228. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Q: What is William Lopez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for William Lopez was last updated on October 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 November 07, 2005PECOS EnrolledAccepts Medicare Assignment

80.83/100

CMS Quality Rating

100 PILOT MEDICAL DR, SUITE 225, BIRMINGHAM, AL 35235(205) 854-8404(205) 854-4302 Get Directions Write a Review

NPPES record last updated: October 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. William C Lopez M.d. NPPES

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

DR. WILLIAM C LOPEZ M.D. (NPI 1013998228) is an individual gastroenterology provider in Birmingham, Alabama, licensed in Alabama (1088) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1982).

NPPES Registry Identity

NPI1013998228

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. WILLIAM C LOPEZCredential: M.D.

Location Address100 PILOT MEDICAL DR, SUITE 225Birmingham, AL 35235-3411

Mailing Address100 Pilot Medical Dr, Suite 225Birmingham, AL 35235-3411 · (205) 854-8404 · Fax (205) 854-4302

Phone(205) 854-8404

Fax(205) 854-4302

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1982

Enumeration DateNovember 7, 2005

Last NPPES UpdateOctober 5, 2011

✔ NPI 1013998228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in AL · 1088

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

100 PILOT MEDICAL DR, Birmingham, AL 35235

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Other Identifiers 2

Medicare PIN102I107435AL

Medicare UPINC73649AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, 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. William C 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 ID5496647679

PECOS Enrollment IDI20101110000031

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 14

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

107 services103 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

51 services46 patients

Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384

This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.

46 services46 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

40 services21 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

37 services21 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

33 services27 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

32 services30 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

29 services29 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

25 services24 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.

22 services20 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

16 services16 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

15 services15 patients

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.

15 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35235 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

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

80.83/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

67.62

Promoting Interoperability

Improvement Activities

Cost

65.35

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

27%30 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

62%376 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

54%132 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

96%793 patients4/55-star benchmark: 100%

e-Prescribing

93%738 patients2/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

76%324 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

80%685 patients4/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

63%681 patients3/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 95% · 78 patients

88%78 patients

Provide Patients Electronic Access to Their Health Information

68%127 patients3/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 337 patients

Patients totalRate: 3% · 337 patients

3%337 patients4/55-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.

Other Providers at the Same Location NPPES 20

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

JACOB CROSS TOWNSEND MD

Internal Medicine (Interventional Cardiology)

100 PILOT MEDICAL DR, SUITE 300
BIRMINGHAM, AL 35235

Jefferson County (205) 856-2284

BRIAN FLOWERS MD

Internal Medicine (Cardiovascular Disease)

100 PILOT MEDICAL DR, STE #300
BIRMINGHAM, AL 35235

Jefferson County (205) 856-2284

ARISHA SALEEM LAKHANI

Nurse Practitioner

100 PILOT MEDICAL DR
BIRMINGHAM, AL 35235

Jefferson County (205) 222-6925

WOMENS WELLNESS PC

Obstetrics & Gynecology

100 PILOT MEDICAL DR, SUITE 200
BIRMINGHAM, AL 35235

Jefferson County (205) 856-1117

DR. JOSHUA NOEL COCKRELL M.D.

Internal Medicine (Interventional Cardiology)

100 PILOT MEDICAL DR, SUITE 300
BIRMINGHAM, AL 35235

Jefferson County (205) 856-2284

EASTERN PULMONARY & SLEEP, PC

Internal Medicine (Pulmonary Disease)

100 PILOT MEDICAL DR, SUITE 100
BIRMINGHAM, AL 35235

Jefferson County (205) 854-8084

ROHIT MALIK MD

Internal Medicine (Gastroenterology)

100 PILOT MEDICAL DR, STE 225
BIRMINGHAM, AL 35235

Jefferson County (205) 854-8404

PAUL OBERT MD PC

Specialist

100 PILOT MEDICAL DR, SUITE 255
BIRMINGHAM, AL 35235

Jefferson County (205) 716-6385

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 William Lopez's NPI number?

The NPI number for William Lopez is 1013998228. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is William Lopez located?

William Lopez practices at 100 Pilot Medical Dr Suite 225, Birmingham, AL 35235. The listed phone number is (205) 854-8404.

What is William Lopez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is William Lopez enrolled in Medicare?

Yes. William 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 William Lopez accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list William 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 William Lopez was last updated on October 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.