MARYALICE LOPEZ MD
NPI 1033554480
Obstetrics & Gynecology in Boise, ID

Q: What is Maryalice Lopez's NPI number?

The NPI number for Maryalice Lopez is 1033554480. It was assigned to this individual provider in the NPPES registry on April 29, 2013.

Q: What is Maryalice Lopez's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Maryalice Lopez was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 April 29, 2013PECOS EnrolledAccepts Medicare Assignment

333 N 1ST ST STE 240, BOISE, ID 83702(208) 338-8900 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2025, Dec 17, 2018, Dec 14, 2018 (3 updates tracked since 2018).

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About Maryalice Lopez Md NPPES

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

MARYALICE LOPEZ MD (NPI 1033554480) is an individual obstetrics & gynecology provider in Boise, Idaho, licensed in Idaho (M14439) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Meridian.

NPPES Registry Identity

NPI1033554480

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameMARYALICE LOPEZCredential: MD

Location Address333 N 1ST ST STE 240Boise, ID 83702-6132

Mailing Address333 N 1st St Ste 240Boise, ID 83702-6132 · (208) 338-8900 · Fax (208) 947-1190

Phone(208) 338-8900

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2013

Enumeration DateApril 29, 2013

Last NPPES UpdateDecember 31, 20253 updates tracked since enumeration

NPPES CertifiedDecember 31, 2025

✔ NPI 1033554480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in ID · M14439

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

333 N 1ST ST STE 240, Boise, ID 83702

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Secondary Practice Location 1

Location 1520 S Eagle RdMeridian, ID 83642-6351 · Phone (208) 381-2222

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan 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

Maryalice 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 ID9335434067

PECOS Enrollment IDI20190214002341

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.

Hospital Affiliations CMS Care Compare

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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.

Other Providers at the Same Location NPPES 10

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

HAILEY ALEXANDER PA-C

Physician Assistant