DR. MICHAEL ANTHONY LOPEZ MD
NPI 1205192135
Ophthalmology in Dayton, OH

Active since April 04, 2012PECOS Enrolled
94.59/100
CMS Quality Rating
1 CHILDRENS PLZ, DAYTON, OH 45404(937) 641-4000(937) 641-4500 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 11, 2025, Jan 6, 2025, Jan 2, 2025 and 6 more (9 updates tracked since 2016).

About Dr. Michael Anthony Lopez Md NPPES

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

DR. MICHAEL ANTHONY LOPEZ MD (NPI 1205192135) is an individual ophthalmology provider in Dayton, Ohio, licensed in Ohio (35.152105) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205192135
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MICHAEL ANTHONY LOPEZCredential: MD
Location Address1 CHILDRENS PLZDayton, OH 45404-1873
Mailing AddressPo Box 933432Cleveland, OH 44193-0039 · (937) 641-5072 · Fax (937) 641-6129
Fax(937) 641-4500
Sole ProprietorNo
Enumeration DateApril 4, 2012
Last NPPES UpdateNovember 11, 20259 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
NPI 1205192135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in OH · 35.152105 Licensed in FL · ME123089
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistTaxonomy 207WX0110X · License ME123089 (FL)
1 CHILDRENS PLZ, Dayton, OH 45404

Other Identifiers 1

Medicaid0078595OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Michael Anthony Lopez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45404 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

94.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.1
Promoting Interoperability100
Improvement Activities40
Cost82.87

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.

Pediatrics (Pediatric Critical Care Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404
Pediatrics (Pediatric Emergency Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404
Physician Assistant
1 CHILDRENS PLZ
DAYTON, OH 45404
Physician Assistant
1 CHILDRENS PLZ
DAYTON, OH 45404
Genetic Counselor, MS
1 CHILDRENS PLZ
DAYTON, OH 45404
Genetic Counselor, MS
1 CHILDRENS PLZ, DAYTON CHILDREN'S MEDICAL CENTER
DAYTON, OH 45404
Pediatrics (Pediatric Hematology-Oncology)
1 CHILDRENS PLZ
DAYTON, OH 45404
Nurse Practitioner (Family)
1 CHILDRENS PLZ
DAYTON, OH 45404

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 Michael Lopez's NPI number?

The NPI number for Michael Lopez is 1205192135. It was assigned to this individual provider in the NPPES registry on April 4, 2012.

Where is Michael Lopez located?

Michael Lopez practices at 1 Childrens Plz, Dayton, OH 45404. The listed phone number is (937) 641-4000.

What is Michael Lopez's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Michael Lopez enrolled in Medicare?

Yes. Michael Lopez is registered in the Medicare PECOS enrollment system.

What insurance does Michael Lopez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield and 2 other insurers list Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Lopez was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.