DR. JOAO A LOPES M.D.
NPI 1043268378
Surgery in West Orange, NJ

Q: What is Joao Lopes's NPI number?

The NPI number for Joao Lopes is 1043268378. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Q: What is Joao Lopes's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Joao Lopes was last updated on May 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment

375 MOUNT PLEASANT AVE, WEST ORANGE, NJ 07052(973) 731-7707(973) 232-2301 Get Directions Write a Review

NPPES record last updated: May 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Joao A Lopes M.d. NPPES

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

DR. JOAO A LOPES M.D. (NPI 1043268378) is an individual surgery provider in West Orange, New Jersey, licensed in New Jersey (25MA07899500) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Overlook Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1043268378

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. JOAO A LOPESCredential: M.D.

Location Address375 MOUNT PLEASANT AVEWest Orange, NJ 07052-2750

Mailing Address375 Mount Pleasant AveWest Orange, NJ 07052-2750 · (973) 731-7707 · Fax (973) 232-2301

Phone(973) 731-7707

Fax(973) 232-2301

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateMay 5, 2006

Last NPPES UpdateMay 15, 2020

NPPES CertifiedMay 15, 2020

✔ NPI 1043268378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in NJ · 25MA07899500

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

375 MOUNT PLEASANT AVE, West Orange, NJ 07052

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Other Identifiers 1

Medicaid0089931NJ

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. Joao A Lopes 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 ID1557396140

PECOS Enrollment IDI20051026000291

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 16

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.

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.

71 services71 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

42 services42 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.

41 services38 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.

34 services18 patients

Repair of groin hernia using an endoscope 49650

This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.

32 services32 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.

30 services29 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.

29 services28 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

26 services26 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.

22 services17 patients

Repair of groin hernia (5 years or older) 49505

Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.

18 services18 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

18 services18 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

17 services17 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.

17 services16 patients

Blood test, clotting time 85610

A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.

14 services14 patients

Coagulation assessment blood test, plasma or whole blood 85730

A coagulation assessment blood test evaluates how well your blood clots, helping identify potential bleeding or clotting disorders. This test uses a sample of your plasma or whole blood. It's a standard procedure to ensure your body's clotting process is functioning properly.

12 services12 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Overlook Medical Center

Acute Care Hospitals · Summit, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310051

Location99 Beauvoir AvenueSummit, NJ 07901 · Union County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

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.

Reported Quality Measures

Clinical Information Reconciliation

For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.

86%198 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…

17%465 patients1/55-star benchmark: 100%

Provide Patient Access

For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…

80%465 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…

0%465 patients1/55-star benchmark: 75%

Send a Summary of Care

For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…

0%512 patients1/55-star benchmark: 100%

View, Download and Transmit (VDT)

During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.

3%465 patients

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

5 suppliers19 claims800 services$4.69 avg. paid by Medicare

Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419

DME-Orthotic Devices · category DF010N

4 suppliers17 claims1,680 services$1.66 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

5 suppliers13 claims675 services$0.20 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

YESICA CANO APN

Nurse Practitioner (Gerontology)

375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052

Essex County (973) 731-9442

ADILA ASIM FAKHAR RD

Dietitian, Registered

375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052

Essex County (973) 731-9442

MR. STEPHEN CRANE MD

Obstetrics & Gynecology

375 MOUNT PLEASANT AVE, SUITE 202
WEST ORANGE, NJ 07052

Essex County (973) 731-7707

DR. DAVID P DOBESH MD

Internal Medicine (Clinical Cardiac Electrophysiology)

375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052

Essex County (973) 731-9442

ELIZABETH ANN JEHLE CPNP-PC

Nurse Practitioner (Pediatrics)

375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052

Essex County (973) 322-6900

PATRICIA ANN CORTINA PT

Physical Therapist

375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052

Essex County (908) 322-6363

DR. DANIEL SANSOBRINO MD

Obstetrics & Gynecology

375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052

Essex County (973) 731-7707

MARIANNE JACOB

Pediatrics (Pediatric Endocrinology)

375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052

Essex County (973) 322-6900

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 Joao Lopes's NPI number?

The NPI number for Joao Lopes is 1043268378. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Joao Lopes located?

Joao Lopes practices at 375 Mount Pleasant Ave, West Orange, NJ 07052. The listed phone number is (973) 731-7707.

What is Joao Lopes's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Joao Lopes enrolled in Medicare?

Yes. Joao Lopes 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.

Is Joao Lopes affiliated with any hospitals?

According to CMS data, Joao Lopes is affiliated with Overlook Medical Center.

When was this NPI record last updated?

The NPPES record for Joao Lopes was last updated on May 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.