CARLOS G LOPEZ MD
NPI 1114935574
Psychiatry & Neurology - Psychiatry in San Rafael, CA

NPI Status: Active since August 03, 2006

Contact Information

3270 KERNER BLVD
SAN RAFAEL, CA
ZIP 94901
Phone: (415) 473-2377
Fax: (415) 473-4113

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Psychiatry & Neurology
Psychiatry
PECOS Enrolled

About CARLOS LOPEZ

This page provides the complete NPI Profile along with additional information for Carlos Lopez, a provider established in San Rafael, California with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1114935574 assigned on August 2006. The practitioner's primary taxonomy code is 2084P0800X with license number 152317 (MA). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI: 1114935574
Provider Name: CARLOS G LOPEZ MD
Gender: Male
Entity Type: Individual
Location Address: 3270 KERNER BLVD SAN RAFAEL, CA 94901
Location Phone: (415) 473-2377
Location Fax: (415) 473-4113
Mailing Address: 3270 KERNER BLVD SAN RAFAEL, CA 94901
Mailing Phone: (415) 473-2377
Mailing Fax: (415) 473-4113
Is Sole Proprietor?: No
Enumeration Date: 08-03-2006
Last Update Date: 04-26-2017
Code Navigator

A psychiatrist like Carlos Lopez are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Psychiatry & Neurology Psychiatry
Taxonomy Code: 2084P0800X
Type: Allopathic & Osteopathic Physicians
License No.: 152317
License State: MA
Taxonomy Description: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State
3199592	MEDICAID (05)	MA
H12105	MEDICARE UPIN (02)
A30025	MEDICARE ID-TYPE UNSPECIFIED (04)	MA

Medicare Participation & PECOS Enrollment Status

Carlos Lopez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 94901 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

Average New Patient Price $202.63
Minimum New Patient Price $69.07
Maximum New Patient Price $202.63

Average New Patient Copayment $50.65
Minimum New Patient Copayment $17.26
Maximum New Patient Copayment $50.65

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $85
Minimum Established Patient Price $23.44
Maximum Established Patient Price $166.64

Average Established Patient Copayment $21.25
Minimum Established Patient Copayment $5.86
Maximum Established Patient Copayment $41.66

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	1	1	4	9	3	5	5	7	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	2	4	18	3	10	5	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 8 + 3 + 1 + 0 + 5 + 1 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 4									4

The NPI number 1114935574 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

MR. ROBERT DENNIS BORDEAUX MFTI

Counselor

(Mental Health)

3270 KERNER BLVD
SAN RAFAEL, CA
ZIP 94901

About CARLOS LOPEZ

Location Map

Specialty - Primary Taxonomy

Psychiatry & Neurology Psychiatry

Insurance Plans Accepted

Additional Identifiers

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): No

Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for CARLOS G LOPEZ MD

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions