GUSTAVO A LOPEZ MD
NPI 1023247202
Family Medicine in Tolleson, AZ

Active since July 08, 2009PECOS EnrolledAccepts Medicare Assignment
9169 W VAN BUREN ST, TOLLESON, AZ 85353(602) 283-5732(602) 314-4579 Get Directions Write a Review

NPPES record last updated: December 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 26, 2018, Aug 30, 2016 (2 updates tracked since 2016).

About Gustavo A Lopez Md NPPES

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

GUSTAVO A LOPEZ MD (NPI 1023247202) is an individual family medicine provider in Tolleson, Arizona, licensed in Arizona (42153) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1023247202
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGUSTAVO A LOPEZCredential: MD
Location Address9169 W VAN BUREN STTolleson, AZ 85353-2942
Mailing Address9169 W Van Buren StTolleson, AZ 85353-2942 · (602) 283-5732 · Fax (602) 314-4579
Fax(602) 314-4579
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 8, 2009
Last NPPES UpdateDecember 26, 20182 updates tracked since enumeration
NPI 1023247202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AZ · 42153
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9169 W VAN BUREN ST, Tolleson, AZ 85353

Other Identifiers 1

Medicaid441076AZ

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

Gustavo A Lopez Md 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 ID941355630
PECOS Enrollment IDI20090901000734
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 15

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.
408 services124 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
206 services124 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
88 services45 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
84 services84 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
48 services25 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.
47 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85353 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
9169 W VAN BUREN ST
TOLLESON, AZ 85353
Family Medicine
9169 W VAN BUREN ST
TOLLESON, AZ 85353
Family Medicine
9169 W VAN BUREN ST
TOLLESON, AZ 85353
Community/Behavioral Health
9169 W VAN BUREN ST
TOLLESON, AZ 85353
Nurse Practitioner (Family)
9169 W VAN BUREN ST
TOLLESON, AZ 85353
Physician Assistant
9169 W VAN BUREN ST
TOLLESON, AZ 85353

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 Gustavo Lopez's NPI number?

The NPI number for Gustavo Lopez is 1023247202. It was assigned to this individual provider in the NPPES registry on July 8, 2009.

Where is Gustavo Lopez located?

Gustavo Lopez practices at 9169 W Van Buren St, Tolleson, AZ 85353. The listed phone number is (602) 283-5732.

What is Gustavo Lopez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gustavo Lopez enrolled in Medicare?

Yes. Gustavo 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 Gustavo Lopez accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. and 1 other insurer list Gustavo 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 Gustavo Lopez was last updated on December 26, 2018. 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.