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MANUEL A LOPEZ M.D
NPI 1023093671
Internal Medicine in Oldsmar, FL

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment
3684 TAMPA RD UNIT 3, OLDSMAR, FL 34677(727) 786-5587 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2019, Nov 22, 2018 (2 updates tracked since 2018).

About Manuel A Lopez M.d NPPES

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

MANUEL A LOPEZ M.D (NPI 1023093671) is an individual internal medicine provider in Oldsmar, Florida, licensed in Florida (ME81940) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of University Of South Florida College Of Medicine (1997).

NPPES Registry Identity

NPI1023093671
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMANUEL A LOPEZCredential: M.D
Location Address3684 TAMPA RD UNIT 3Oldsmar, FL 34677-6351
Mailing Address2270 Christy LnOldsmar, FL 34677-1910
Phone(727) 786-5587
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1997
Enumeration DateDecember 7, 2005
Last NPPES UpdateMay 16, 20192 updates tracked since enumeration
✔ NPI 1023093671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME81940
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.
3684 TAMPA RD UNIT 3, Oldsmar, FL 34677
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Manuel A 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 ID7810974284
PECOS Enrollment IDI20040706000094
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 4

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.

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.
2,074 services466 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
856 services318 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
441 services214 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.
235 services225 patients

Hospital Affiliations CMS Care Compare 3

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Tampa General Hospital

Acute Care Hospitals · Tampa, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100128
Location1 Tampa General CirTampa, FL 33606 · Hillsborough County
Emergency services Birthing friendly

Hca Florida South Tampa Hospital

Acute Care Hospitals · Tampa, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100206
Location2901 W Swann AveTampa, FL 33609 · Hillsborough County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34677 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
89%242 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 2

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

DR. SUSHIL C GEORGE MD
Internal Medicine
3684 TAMPA RD UNIT 3
OLDSMAR, FL 34677
Pinellas County (813) 818-4516
MANUEL LOPEZ MD PA
Internal Medicine
3684 TAMPA RD UNIT 3
OLDSMAR, FL 34677
Pinellas County (727) 786-5587

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 Manuel Lopez's NPI number?

The NPI number for Manuel Lopez is 1023093671. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Manuel Lopez located?

Manuel Lopez practices at 3684 Tampa Rd Unit 3, Oldsmar, FL 34677. The listed phone number is (727) 786-5587.

What is Manuel Lopez's specialty?

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

Is Manuel Lopez enrolled in Medicare?

Yes. Manuel 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 Manuel Lopez accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Manuel 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 Manuel Lopez affiliated with any hospitals?

According to CMS data, Manuel Lopez is affiliated with St Josephs Hospital, Tampa General Hospital and Hca Florida South Tampa Hospital.

When was this NPI record last updated?

The NPPES record for Manuel Lopez was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.