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DR. RAFAEL ROBERTO LOPEZ M.D.
NPI 1124006358
Urology in Wellington, FL

Active since January 06, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3347 STATE ROAD 7, SUITE 101, WELLINGTON, FL 33449(561) 790-2111(561) 790-0893 Get Directions Write a Review

NPPES record last updated: November 15, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 15, 2016, Oct 13, 2016, Feb 24, 2016 and 2 more (5 updates tracked since 2016).

About Dr. Rafael Roberto Lopez M.d. NPPES

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

DR. RAFAEL ROBERTO LOPEZ M.D. (NPI 1124006358) is an individual urology provider in Wellington, Florida, licensed in Florida (ME58240) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Medical Center, and is a graduate of Columbia University College Of Physicians And Surgeons (1979).

NPPES Registry Identity

NPI1124006358
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. RAFAEL ROBERTO LOPEZCredential: M.D.
Location Address3347 STATE ROAD 7, SUITE 101Wellington, FL 33449-8095
Mailing Address2234 Colonial Blvd, Attn: Payer Contracting & Relations Dept.Fort Myers, FL 33907-1412 · (239) 931-7342 · Fax (239) 931-7385
Phone(561) 790-2111
Fax(561) 790-0893
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1979
Enumeration DateJanuary 6, 2006
Last NPPES UpdateNovember 15, 20165 updates tracked since enumeration
✔ NPI 1124006358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in FL · ME58240
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.

3347 STATE ROAD 7, Wellington, FL 33449
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Other Identifiers 10

OtherP01606329FL · Rr Medicare
Medicare PIN11453ZFL
Medicare UPINE12821FL
Other7851FL · Dimension Health
Medicare PIN11453VFL
Other11453FL · Bcbs
Medicaid064063800FL
Other1004922FL · Careplus
Other1249241FL · Wellcare
Other4200237FL · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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. Rafael Roberto Lopez M.d. 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 ID9739211756
PECOS Enrollment IDI20100709000332
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 10

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.
282 services193 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
236 services179 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
232 services179 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.
50 services50 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.
41 services34 patients
Limited ultrasound scan behind abdominal cavity 76775
A limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.
34 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Medical Center

Acute Care Hospitals · West Palm Beach, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100287
Location1309 N Flagler DrWest Palm Beach, FL 33401 · Palm Beach County
Emergency services Birthing friendly

Hendry Regional Medical Center

Critical Access Hospitals · Clewiston, FL
OwnershipVoluntary non-profit - Other
CMS Certification Number101309
Location524 W Sagamore AveClewiston, FL 33440 · Hendry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33449 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

e-Prescribing
94%2,213 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%1,316 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier13 claims1,860 services$5.27 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.

DR. CHANDRA VENUGOPAL M.D.
Internal Medicine (Cardiovascular Disease)
3347 STATE ROAD 7, SUITE 203
WELLINGTON, FL 33449
Palm Beach County (561) 793-6100
SFM UROLOGY II
Urology
3347 STATE ROAD 7, SUITE 101
WELLINGTON, FL 33449
Palm Beach County (561) 790-2111
DR. NEERAV S SHAH MD
Internal Medicine (Cardiovascular Disease)
3347 STATE ROAD 7, STE 203
WELLINGTON, FL 33449
Palm Beach County (561) 793-6100
DR. SEAN LALL SAWH MD
Urology
3347 STATE ROAD 7, SUITE 101
WELLINGTON, FL 33449
Palm Beach County (561) 790-2111
DR. JEAN FOUCAULD MD
Internal Medicine (Cardiovascular Disease)
3347 STATE ROAD 7, STE. 203
WELLINGTON, FL 33449
Palm Beach County (561) 793-6100
DR. CHRISTINE A. KLEPP M.D.
Specialist
3347 STATE ROAD 7, SUITE 200
WELLINGTON, FL 33449
Palm Beach County (561) 333-8460
DR. EDWARD RENE BECKER M.D.
Urology
3347 STATE ROAD 7, SUITE 101
WELLINGTON, FL 33449
Palm Beach County (561) 790-2111
DR. DAMIAN PORTELA M.D.
Urology
3347 STATE ROAD 7, SUITE 101
WELLINGTON, FL 33449
Palm Beach County (561) 790-2111

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 Rafael Lopez's NPI number?

The NPI number for Rafael Lopez is 1124006358. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Rafael Lopez located?

Rafael Lopez practices at 3347 State Road 7 Suite 101, Wellington, FL 33449. The listed phone number is (561) 790-2111.

What is Rafael Lopez's specialty?

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

Is Rafael Lopez enrolled in Medicare?

Yes. Rafael 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 Rafael Lopez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Rafael 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 Rafael Lopez affiliated with any hospitals?

According to CMS data, Rafael Lopez is affiliated with Good Samaritan Medical Center and Hendry Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Rafael Lopez was last updated on November 15, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.