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CAMILO E LOPEZ P.A
NPI 1043253479
Physician Assistant in Miami, FL

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
64.74/100
CMS Quality Rating
10445 SW 128TH TER, MIAMI, FL 33176(786) 290-3211(305) 259-1931 Get Directions Write a Review

NPPES record last updated: April 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Camilo E Lopez P.a NPPES

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

CAMILO E LOPEZ P.A (NPI 1043253479) is an individual physician assistant in Miami, Florida, licensed in Florida (9100817) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Keralty Hospital, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1043253479
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCAMILO E LOPEZCredential: P.A
Location Address10445 SW 128TH TERMiami, FL 33176-5540
Mailing Address10445 Sw 128th TerMiami, FL 33176-5540 · (305) 232-8234 · Fax (305) 259-1931
Phone(786) 290-3211
Fax(305) 259-1931
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJune 14, 2006
Last NPPES UpdateApril 6, 2016
✔ NPI 1043253479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · 9100817
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10445 SW 128TH TER, Miami, FL 33176
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Other Identifiers 1

Medicare ID-Type UnspecifiedK-3707FL

Accepted Insurance

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

Camilo E Lopez P.a 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 ID1254588767
PECOS Enrollment IDI20120905000453
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.

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.
583 services398 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.
271 services175 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
221 services177 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
41 services26 patients

Hospital Affiliations CMS Care Compare

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

Keralty Hospital

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100284
Location2500 SW 75th AveMiami, FL 33155 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33176 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
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.

64.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality86.28
Improvement Activities0
Cost67.44

Other Providers at the Same Location NPPES

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

CAMILO E. LOPEZ PA
General Practice
10445 SW 128TH TER
MIAMI, FL 33176
Miami-Dade County (305) 232-8234

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 Camilo Lopez's NPI number?

The NPI number for Camilo Lopez is 1043253479. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Camilo Lopez located?

Camilo Lopez practices at 10445 SW 128th Ter, Miami, FL 33176. The listed phone number is (786) 290-3211.

What is Camilo Lopez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Camilo Lopez enrolled in Medicare?

Yes. Camilo 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 Camilo Lopez accept?

Health plans from Oscar Health Maintenance Organization of Florida list Camilo 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 Camilo Lopez affiliated with any hospitals?

According to CMS data, Camilo Lopez is affiliated with Keralty Hospital.

When was this NPI record last updated?

The NPPES record for Camilo Lopez was last updated on April 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.