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JOSEPH FLANNERY LOPES MD
NPI 1093806200
Urology in Oakland, ME

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
79.27/100
CMS Quality Rating
9 PLEASANT STREET, SUITE 2, OAKLAND, ME 04963(207) 465-2700(207) 465-2300 Get Directions Write a Review

NPPES record last updated: November 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joseph Flannery Lopes Md NPPES

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

JOSEPH FLANNERY LOPES MD (NPI 1093806200) is an individual urology provider in Oakland, Maine, licensed in Maine (016082) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Maine General Medical Center, and is a graduate of State University Of New York At Buffalo School Of Medicine (1997).

NPPES Registry Identity

NPI1093806200
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJOSEPH FLANNERY LOPESCredential: MD
Location Address9 PLEASANT STREET, SUITE 2Oakland, ME 04963
Mailing Address9 Pleasant Street, Suite 2Oakland, ME 04963 · (207) 465-2700 · Fax (207) 465-2300
Phone(207) 465-2700
Fax(207) 465-2300
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1997
Enumeration DateSeptember 27, 2006
Last NPPES UpdateNovember 14, 2011
✔ NPI 1093806200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in ME · 016082
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
9 PLEASANT STREET, Oakland, ME 04963
Open in Google Maps ↗

Other Identifiers 5

Other060356ME · Anthem
Other3193425Aetna
Medicare ID-Type UnspecifiedMM9960ME
Medicaid283660099ME
Medicare UPINH84871

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Joseph Flannery Lopes 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 ID6901851054
PECOS Enrollment IDI20050322000389
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.

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.
207 services164 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
116 services85 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.
91 services72 patients
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.
66 services66 patients

Hospital Affiliations CMS Care Compare 2

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

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

Redington Fairview General Hospital

Critical Access Hospitals · Skowhegan, ME
4/5 CMS rating
OwnershipProprietary
CMS Certification Number201314
Location46 Fairview Ave PO Box 468Skowhegan, ME 04976 · Somerset County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04963 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

79.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.72
Promoting Interoperability76
Improvement Activities40
Cost60.51

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 Joseph Lopes's NPI number?

The NPI number for Joseph Lopes is 1093806200. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Joseph Lopes located?

Joseph Lopes practices at 9 Pleasant Street Suite 2, Oakland, ME 04963. The listed phone number is (207) 465-2700.

What is Joseph Lopes's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Joseph Lopes enrolled in Medicare?

Yes. Joseph 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.

What insurance does Joseph Lopes accept?

Health plans from Anthem Blue Cross and Blue Shield list Joseph Lopes 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 Joseph Lopes affiliated with any hospitals?

According to CMS data, Joseph Lopes is affiliated with Maine General Medical Center and Redington Fairview General Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Lopes was last updated on November 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.