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

Q: 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.

Q: What is Michael Lopez's specialty?

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

Q: 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 11 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.

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: October 18, 2026.

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

On this page

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 and maintains 6 additional practice locations.

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

Phone(937) 641-4000

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

Open in Google Maps ↗

Secondary Practice Locations 6

Location 13115 W Swann AveTampa, FL 33609-4617 · Phone (813) 492-2020 · Fax (813) 492-2099

Location 25800 49th St N Ste S108St Petersburg, FL 33709-2146 · Phone (727) 390-3937 · Fax (727) 390-3940

Location 33535 Southern BlvdKettering, OH 45429-1221 · Phone (937) 641-4000

Location 43333 W Tech RdMiamisburg, OH 45342-0955 · Phone (937) 641-4000 · Fax (937) 641-4500

Location 5403 Vonderburg DrBrandon, FL 33511-5982 · Phone (813) 681-1122 · Fax (813) 684-4924

Location 610080 Balaye Run DrTampa, FL 33619-7902 · Phone (727) 767-4393

Other Identifiers 1

Medicaid0078595OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Michael Lopez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dayton Children's Specialty Physicians, Inc.

Same address

Pediatrics

1 CHILDRENS PLZ
Dayton, OH 45404

Reassigned Medicare billing, Ohio enrollment
Medicare enrollment name: Dayton Childrens Specialty Physicians Inc
479 clinicians in this Medicare group

NPI 1225192610 (937) 641-4000

Shriners Hospitals For Children

Same address

Anesthesiology

1 CHILDREN'S PLAZA, 2 WEST
Dayton, OH 45404

Reassigned Medicare billing, Ohio enrollment
54 clinicians in this Medicare group

NPI 1235627480 (513) 872-6000

Hess Pediatric Ophthalmology Specialist

826 mi

Ophthalmology

710 94TH AVE N STE 309
St Petersburg, FL 33702

Reassigned Medicare billing, Florida enrollment
4 clinicians in this Medicare group

NPI 1396951463 (727) 213-3330

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

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

Quality

99.1

Promoting Interoperability

100

Improvement Activities

Cost

82.87

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.

HEMANTH SHIMOGA LINGADEVARU MD,MPH,FAAP

Pediatrics (Pediatric Critical Care Medicine)

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3000

TANYA PAUL M.D

Pediatrics (Pediatric Emergency Medicine)

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3600

NICOLE LYNNE-BENDT SCOTT

Physician Assistant

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3600

CODY H MCMILLAN

Physician Assistant

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3000

TANIA MONTENEGRO MS, MPH

Genetic Counselor, MS

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-5923

MS. FAITH ANGELA CALLIF-DALEY M.S.

Genetic Counselor, MS

1 CHILDRENS PLZ, DAYTON CHILDREN'S MEDICAL CENTER
DAYTON, OH 45404

Montgomery County (937) 641-5645

DR. EMMETT H BROXSON JR. MD

Pediatrics (Pediatric Hematology-Oncology)

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3111

MISS SAUNDRA D ZERBE FNP

Nurse Practitioner (Family)

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3600

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.

Which organizations bill Medicare for Michael Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Lopez reassigns Medicare benefits to 3 organizations: Dayton Children's Specialty Physicians, Inc. (Dayton, OH), Shriners Hospitals For Children (Dayton, OH) and Hess Pediatric Ophthalmology Specialist (St Petersburg, FL). Each 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 Michael Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Lopez accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 14 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 11 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.