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DR. MARY RUTH MOTOMAL LOPEZ M.D.
NPI 1154371912
Family Medicine in Martinsburg, WV

Active since May 11, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 51D2092231 · Waiver
233 WARM SPRINGS AVE, MARTINSBURG, WV 25404(304) 262-8686(240) 485-0916 Get Directions Write a Review

NPPES record last updated: April 12, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mary Ruth Motomal Lopez M.d. NPPES

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

DR. MARY RUTH MOTOMAL LOPEZ M.D. (NPI 1154371912) is an individual family medicine provider in Martinsburg, West Virginia, licensed in West Virginia (22265) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 1, 2027, and is affiliated with Berkeley Medical Center.

NPPES Registry Identity

NPI1154371912
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARY RUTH MOTOMAL LOPEZCredential: M.D.
Location Address233 WARM SPRINGS AVEMartinsburg, WV 25404-3825
Mailing Address233 Warm Springs AveMartinsburg, WV 25404-3825 · (304) 262-8686 · Fax (240) 485-0916
Phone(304) 262-8686
Fax(240) 485-0916
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMay 11, 2006
Last NPPES UpdateApril 12, 2019
✔ NPI 1154371912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 22265
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
233 WARM SPRINGS AVE, Martinsburg, WV 25404
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Other Identifiers 2

Medicaid3810007064WV
OtherP00966052WV · Rail Road Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mary Ruth Motomal 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 ID6800895475
PECOS Enrollment IDI20061208000001
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 Reassignment

Medicare enrollment records show Mary Ruth Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mary Ruth Lopez, MD PLLC
Same address
Family Medicine
233 WARM SPRINGS AVE
Martinsburg, WV 25404
  • Reassigned Medicare billing, West Virginia enrollment
NPI 1194112524 (304) 262-8686

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2092231

Mary Ruth Lopez MD · Martinsburg, WV
Active · expires Mar 1, 2027
CLIA Number51D2092231
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2025
Certificate Expiration DateMarch 1, 2027
Laboratory DirectorMary R. Lopez MD
Laboratory Phone(304) 262-8686
Laboratory LocationMary Ruth Lopez MD233 Warm Spring Avenune, Martinsburg, WV 25404
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.
263 services129 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
236 services121 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.
113 services83 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511319
Location300 South Preston StreetRanson, WV 25438 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25404 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers29 claims63 services$5.68 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers12 claims17 services$39.03 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers15 claims33 services$2.56 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers13 claims13 services$49.42 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers12 claims1,712 services$0.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$169.49 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY RUTH LOPEZ, MD PLLC
Family Medicine
233 WARM SPRINGS AVE
MARTINSBURG, WV 25404
Berkeley County (304) 262-8686

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 Mary Ruth Lopez's NPI number?

The NPI number for Mary Ruth Lopez is 1154371912. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Mary Ruth Lopez located?

Mary Ruth Lopez practices at 233 Warm Springs Ave, Martinsburg, WV 25404. The listed phone number is (304) 262-8686.

What is Mary Ruth Lopez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mary Ruth Lopez enrolled in Medicare?

Yes. Mary Ruth 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.

Which organization bills Medicare for Mary Ruth Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Ruth Lopez reassigns Medicare benefits to Mary Ruth Lopez, MD PLLC (Martinsburg, WV). The 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 Mary Ruth Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Mary Ruth Lopez hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2092231) is associated with this NPI, valid through March 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mary Ruth Lopez accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Mary Ruth 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 Mary Ruth Lopez affiliated with any hospitals?

According to CMS data, Mary Ruth Lopez is affiliated with Berkeley Medical Center and Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Ruth Lopez was last updated on April 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.