MARK DANIEL LOPEZ MD
NPI 1053420257
Pediatrics - Pediatric Emergency Medicine in Augusta, GA

Q: What is Mark Lopez's NPI number?

The NPI number for Mark Lopez is 1053420257. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Mark Lopez's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Mark Lopez was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 30, 2006PECOS Enrolled

83.94/100

CMS Quality Rating

1120 15TH ST, AUGUSTA, GA 30912(706) 721-4951(706) 721-7941 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mark Daniel Lopez Md NPPES

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

MARK DANIEL LOPEZ MD (NPI 1053420257) is an individual pediatric emergency medicine provider in Augusta, Georgia, licensed in Georgia (049055) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053420257

Entity TypeIndividualMale

Primary Taxonomy2080P0204X

Provider Legal NameMARK DANIEL LOPEZCredential: MD

Location Address1120 15TH STAugusta, GA 30912-0004

Mailing Address1499 Walton Way, Ste 1400Augusta, GA 30901-2602 · (706) 828-6410 · Fax (706) 722-5187

Phone(706) 721-4951

Fax(706) 721-7941

Sole ProprietorNo

Enumeration DateAugust 30, 2006

Last NPPES UpdateNovember 30, 2023

NPPES CertifiedNovember 30, 2023

✔ NPI 1053420257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in GA · 049055

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

1120 15TH ST, Augusta, GA 30912

Open in Google Maps ↗

Other Identifiers 2

MedicaidG49055SC

Medicaid000875388AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Daniel Lopez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Mark Lopez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Au Medical Associates Inc

Same address

Multi-Specialty

1120 15TH ST
Augusta, GA 30912

Reassigned Medicare billing, Georgia enrollment
1,151 clinicians in this Medicare group

NPI 1841230620 (706) 721-2273

Au Medical Associates Emergency Medicine Billing Services, LLC

0.1 mi

Emergency Medicine

1120 15TH ST
Augusta, GA 30912

Reassigned Medicare billing, Georgia enrollment
114 clinicians in this Medicare group

NPI 1982089777 (706) 721-4951

Wellstar Medical Group, LLC

140 mi

Family Medicine

11685 ALPHARETTA HWY, SUITE 300
Roswell, GA 30076

Reassigned Medicare billing, Georgia enrollment
3,885 clinicians in this Medicare group

NPI 1922405729 (678) 325-6611

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

111 services106 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

42 services41 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

40 services40 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.

22 services21 patients

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.

83.94/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

53.98

Improvement Activities

Cost

100

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.

DR. TOYA HESTER KELLEY MD

Family Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-3157

DR. JACK BRADLEY ELLIS D.O.

Internal Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

SAMI MOHAMMED ALSHEHRY

Student in an Organized Health Care Education/Training Program

1120 15TH ST, 1065
AUGUSTA, GA 30912

Richmond County (706) 721-2411

LUIS ALBERTO VELASQUEZ ZARATE M.D

Pathology (Anatomic Pathology & Clinical Pathology)

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-2771

DR. BRYAN RICHARD BROACH M.D.

Internal Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

JANELLE MCGILL M.D.

Pediatrics

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

DR. KAYLA ASHLEY SHAHBAZIAN DO

Internal Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

ROSA MARIA LOPEZ RINCON

Anesthesiology

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 446-5836

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 Mark Lopez's NPI number?

The NPI number for Mark Lopez is 1053420257. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Mark Lopez located?

Mark Lopez practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-4951.

What is Mark Lopez's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Mark Lopez enrolled in Medicare?

Yes. Mark Lopez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Lopez reassigns Medicare benefits to 3 organizations: Au Medical Associates Inc (Augusta, GA), Au Medical Associates Emergency Medicine Billing Services, LLC (Augusta, GA) and Wellstar Medical Group, LLC (Roswell, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Lopez accept?

Health plans from Alliant Health Plans, Inc. list Mark 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 Mark Lopez was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.