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DR. RAYMOND A LOPEZ M.D.
NPI 1083708747
Obstetrics & Gynecology in Miramar, FL

Active since October 03, 2006PECOS Enrolled
4064 SW 69TH AVE, MIRAMAR, FL 33023(542) 398-8609(954) 239-8847 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 20, 2022, Oct 22, 2021, Apr 2, 2021 (3 updates tracked since 2021).

About Dr. Raymond A Lopez M.d. NPPES

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

DR. RAYMOND A LOPEZ M.D. (NPI 1083708747) is an individual obstetrics & gynecology provider in Miramar, Florida, licensed in Florida (ME130127) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Madison, and is a graduate of Ponce School Of Medicine (1982).

NPPES Registry Identity

NPI1083708747
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. RAYMOND A LOPEZCredential: M.D.
Location Address4064 SW 69TH AVEMiramar, FL 33023-6688
Mailing Address16900 North Bay Rd 2217Sunny Isles, FL 33160-6274 · (256) 508-9002
Phone(542) 398-8609
Fax(954) 239-8847
Sole ProprietorYes
Medical School CMSPonce School Of MedicineGraduated 1982
Enumeration DateOctober 3, 2006
Last NPPES UpdateSeptember 20, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2022
✔ NPI 1083708747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in FL · ME130127✔ Licensed in AL · 18239
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License ME130127 (FL)
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License ME130127 (FL)
4064 SW 69TH AVE, Miramar, FL 33023
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Secondary Practice Location 1

Location 13809 Sullivan St, Suite 6-AMadison, AL 35758-2372 · Phone (256) 461-4104

Other Identifiers 1

Other51097396AL · Blue Cross&blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Raymond A Lopez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254392608
PECOS Enrollment IDI20210810002933
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

3

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

Somos Vida Medical Center, LLC
8.0 mi
Family Medicine
4910 E 2ND AVE
Hialeah, FL 33013
  • Reassigned Medicare billing, Florida enrollment
  • 5 clinicians in this Medicare group
NPI 1699365569 (954) 239-8860
Retreat Medical Center LLC
14 mi
Endocrinology, Diabetes & Metabolism
1818 W FLAGLER ST STE 300
Miami, FL 33135
  • Reassigned Medicare billing, Florida enrollment
  • 14 clinicians in this Medicare group
NPI 1194541821 (786) 755-2891
Ultrahealth, L.L.C.
93 mi
Psychiatry
5038 CORONADO PKWY
Naples, FL 34116
  • Reassigned Medicare billing, Florida enrollment
  • 14 clinicians in this Medicare group
NPI 1821785783 (239) 499-0900

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33023 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

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 Raymond Lopez's NPI number?

The NPI number for Raymond Lopez is 1083708747. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Raymond Lopez located?

Raymond Lopez practices at 4064 SW 69th Ave, Miramar, FL 33023. The listed phone number is (542) 398-8609.

What is Raymond Lopez's specialty?

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

Is Raymond Lopez enrolled in Medicare?

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

Which organizations bill Medicare for Raymond Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raymond Lopez reassigns Medicare benefits to 3 organizations: Somos Vida Medical Center, LLC (Hialeah, FL), Retreat Medical Center LLC (Miami, FL) and Ultrahealth, L.L.C. (Naples, FL). 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 Raymond Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raymond Lopez accept?

Health plans from 22 Health, Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Raymond 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 Raymond Lopez was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.