DR. JEROME E LOPEZ MD
NPI 1083612303
Psychiatry & Neurology - Neurology in Sherman, TX

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
321 N HIGHLAND AVE, SUITE 200, SHERMAN, TX 75092(903) 893-5141(903) 891-4285 Get Directions Write a Review

NPPES record last updated: February 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerome E Lopez Md NPPES

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

DR. JEROME E LOPEZ MD (NPI 1083612303) is an individual neurology provider in Sherman, Texas, licensed in Texas (K9601) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Texoma Medical Center, and is a graduate of University Of Maryland School Of Medicine (1992).

NPPES Registry Identity

NPI1083612303
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. JEROME E LOPEZCredential: MD
Location Address321 N HIGHLAND AVE, SUITE 200Sherman, TX 75092-7378
Mailing Address321 N Highland Ave, Suite 200Sherman, TX 75092-7378 · (903) 893-5141 · Fax (903) 891-4285
Fax(903) 891-4285
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1992
Enumeration DateJuly 11, 2005
Last NPPES UpdateFebruary 23, 2011
NPI 1083612303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in TX · K9601
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
321 N HIGHLAND AVE, Sherman, TX 75092

Other Identifiers 4

Medicare UPINH11172TX
Medicaid100249120AOK
Other130021486TX · Railroad Medicare
Medicare ID-Type Unspecified83261XTX · Medicare Tx

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

Dr. Jerome E 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 ID5294778494
PECOS Enrollment IDI20061010000763, I20120210000024
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.

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.
804 services264 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
427 services411 patients
Complete ultrasound of within the brain blood flow 93886
A complete ultrasound of brain blood flow, also known as a Transcranial Doppler, is a non-invasive procedure that uses sound waves to measure the speed and direction of blood flow in the brain. This helps detect any abnormalities or blockages.
401 services387 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
265 services116 patients
Nerve conduction, 5-6 studies 95909
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.
89 services87 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
70 services70 patients

Hospital Affiliations CMS Care Compare 3

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

Texoma Medical Center

Acute Care Hospitals · Denison, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450324
Location5016 S Us Highway 75Denison, TX 75020 · Grayson County
Emergency services Birthing friendly

Baylor Scott And White Surgical Hospital At Sherma

Acute Care Hospitals · Sherman, TX
2/5 CMS rating
OwnershipPhysician
CMS Certification Number670076
Location3601 Calais DriveSherman, TX 75090 · Grayson County
Emergency services

Texas Health Hospital Frisco

Acute Care Hospitals · Frisco, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670260
Location12400 N Dallas ParkwayFrisco, TX 75033 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75092 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 8

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers19 claims19 services$102.48 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers19 claims44 services$37.50 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers13 claims13 services$20.03 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
8 suppliers18 claims18 services$17.39 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
8 suppliers25 claims129 services$2.32 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
1 supplier20 claims20 services$115.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
321 N HIGHLAND AVE, SUITE 200
SHERMAN, TX 75092
Psychiatry & Neurology (Neurology)
321 N HIGHLAND AVE, SUITE 200
SHERMAN, TX 75092
Nurse Practitioner (Family)
321 N HIGHLAND AVE, SUITE 200
SHERMAN, TX 75092
Physician Assistant (Surgical)
321 N HIGHLAND AVE, SUITE 120
SHERMAN, TX 75092
Orthopaedic Surgery
321 N HIGHLAND AVE, STE 120
SHERMAN, TX 75092
Physical Therapist
321 N HIGHLAND AVE, STE 120
SHERMAN, TX 75092
Occupational Therapist
321 N HIGHLAND AVE
SHERMAN, TX 75092
Psychiatry & Neurology (Neurology)
321 N HIGHLAND AVE, SUITE 200
SHERMAN, TX 75092

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 Jerome Lopez's NPI number?

The NPI number for Jerome Lopez is 1083612303. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Jerome Lopez located?

Jerome Lopez practices at 321 N Highland Ave Suite 200, Sherman, TX 75092. The listed phone number is (903) 893-5141.

What is Jerome Lopez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jerome Lopez enrolled in Medicare?

Yes. Jerome 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 Jerome Lopez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Jerome 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 Jerome Lopez affiliated with any hospitals?

According to CMS data, Jerome Lopez is affiliated with Texoma Medical Center, Baylor Scott And White Surgical Hospital At Sherma and Texas Health Hospital Frisco.

When was this NPI record last updated?

The NPPES record for Jerome Lopez was last updated on February 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.