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KRISTEN LOPEZ P.A.
NPI 1144220591
Physician Assistant in Frederick, MD

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
95.99/100
CMS Quality Rating
400 W 7TH ST, FREDERICK, MD 21701(240) 566-3300 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2019, Oct 29, 2019 (2 updates tracked since 2019).

About Kristen Lopez P.a. NPPES

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

KRISTEN LOPEZ P.A. (NPI 1144220591) is an individual physician assistant in Frederick, Maryland, licensed in Maryland (C03057) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Medstar Southern Maryland Hospital Center, and maintains a secondary practice location in Fort Washington.

NPPES Registry Identity

NPI1144220591
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTEN LOPEZCredential: P.A.
Location Address400 W 7TH STFrederick, MD 21701-4506
Mailing Address400 W 7th StFrederick, MD 21701-4506
Phone(240) 566-3300
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 28, 2005
Last NPPES UpdateDecember 3, 20192 updates tracked since enumeration
✔ NPI 1144220591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MD · C03057
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
400 W 7TH ST, Frederick, MD 21701
Open in Google Maps ↗

Secondary Practice Location 1

Location 111711 Livingston RdFort Washington, MD 20744-5151 · Phone (301) 203-2250

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

Kristen Lopez P.a. 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 ID143276808
PECOS Enrollment IDI20050324001177, I20060921000081
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 7

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
36 services36 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
26 services26 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.
17 services17 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
16 services16 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
16 services16 patients
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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Medstar Southern Maryland Hospital Center

Acute Care Hospitals · Clinton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210062
Location7503 Surratts RoadClinton, MD 20735 · Prince Georges County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21701 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

95.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.48
Promoting Interoperability100
Improvement Activities40
Cost74.87

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$3.39 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.

MS. LINDA B PRUCE SLP
Speech-Language Pathologist
400 W 7TH ST
FREDERICK, MD 21701
Frederick County (240) 566-3337
LORI SUSAN SPERLING D.P.T.
Physical Therapist
400 W 7TH ST
FREDERICK, MD 21701
Frederick County (800) 603-6046
ROY DEGRANGE JR.
Nurse Anesthetist, Certified Registered
400 W 7TH ST
FREDERICK, MD 21701
Frederick County (250) 566-3300
DR. BHARTI RAZDAN M.D.
Pediatrics (Neonatal-Perinatal Medicine)
400 W 7TH ST, NICU, FREDERICK MEMORIAL HOSPITAL
FREDERICK, MD 21701
Frederick County (240) 566-3582
PATRICIA M MAUNDU PHARM.D.
Pharmacist
400 W 7TH ST
FREDERICK, MD 21701
Frederick County (240) 566-3393
HOSPITALIST MEDICINE PHYSICIANS OF MARYLAND-FREDERICK PC
Internal Medicine
400 W 7TH ST
FREDERICK, MD 21701
Frederick County (615) 577-6366
FREDERICK HEALTH MEDICAL GROUP LLC
Family Medicine
400 W 7TH ST
FREDERICK, MD 21701
Frederick County (240) 215-6310
MRS. AMY JEANNE MCGREEVY RN, MS, CRNP, OCN
Nurse Practitioner (Acute Care)
400 W 7TH ST
FREDERICK, MD 21701
Frederick County (240) 566-3031

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 Kristen Lopez's NPI number?

The NPI number for Kristen Lopez is 1144220591. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Kristen Lopez located?

Kristen Lopez practices at 400 W 7th St, Frederick, MD 21701. The listed phone number is (240) 566-3300.

What is Kristen Lopez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kristen Lopez enrolled in Medicare?

Yes. Kristen 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.

Is Kristen Lopez affiliated with any hospitals?

According to CMS data, Kristen Lopez is affiliated with Medstar Southern Maryland Hospital Center.

When was this NPI record last updated?

The NPPES record for Kristen Lopez was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.