FERNANDO CACERES LOPEZ M.D.
NPI 1225281033
Internal Medicine - Pulmonary Disease in Billings, MT

Q: What is Fernando Caceres Lopez's NPI number?

The NPI number for Fernando Caceres Lopez is 1225281033. It was assigned to this individual provider in the NPPES registry on October 24, 2008.

Q: What is Fernando Caceres Lopez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Active since October 24, 2008PECOS EnrolledAccepts Medicare Assignment

94.3/100

CMS Quality Rating

801 N 29TH ST, BILLINGS CLINIC, BILLINGS, MT 59101(406) 238-2751 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 24, 2022, Jul 30, 2020, Jan 14, 2019 (3 updates tracked since 2019).

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About Fernando Caceres Lopez M.d. NPPES

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

FERNANDO CACERES LOPEZ M.D. (NPI 1225281033) is an individual pulmonary disease provider in Billings, Montana, licensed in Montana (28024) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1225281033

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameFERNANDO CACERES LOPEZCredential: M.D.

Location Address801 N 29TH ST, BILLINGS CLINICBillings, MT 59101-0905

Mailing AddressPo Box 35100Billings, MT 59107-5100 · (406) 238-2500

Phone(406) 238-2751

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateOctober 24, 2008

Last NPPES UpdateFebruary 24, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2022

✔ NPI 1225281033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in MT · 28024

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedEmergency Medicine · Undersea and Hyperbaric MedicineTaxonomy 207PE0005X · License 28024 (MT)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 28024 (MT)

Also ListedPreventive Medicine · Undersea and Hyperbaric MedicineTaxonomy 2083P0011X · License 28024 (MT)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TRN # 11611 (FL)

801 N 29TH ST, Billings, MT 59101

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans 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

Fernando Caceres 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 ID5496971491

PECOS Enrollment IDI20140729000343, I20230913001198

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 9

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

213 services101 patients

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.

84 services62 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

40 services24 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

24 services18 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.

22 services22 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

19 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Billings Clinic

Acute Care Hospitals · Billings, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270004

Location2800 10th Ave NBillings, MT 59101 · Yellowstone County

Emergency services Birthing friendly

Glendive Medical Center

Critical Access Hospitals · Glendive, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271332

Location202 Prospect DrGlendive, MT 59330 · Dawson County

Emergency services

Sheridan Memorial Hospital

Acute Care Hospitals · Sheridan, WY

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number530006

Location1401 W 5th StSheridan, WY 82801 · Sheridan County

Emergency services

Powell Valley Hospital

Critical Access Hospitals · Powell, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531310

Location777 Avenue HPowell, WY 82435 · Park County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59101 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

$130.52 typical visit price

range $56.81 – $172.26

Typical copayment $32.63 (range $14.20 – $43.06)

Most-billed visit code 99204

Established Patient

$100.16 typical visit price

range $18.24 – $140.32

Typical copayment $25.04 (range $4.56 – $35.08)

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.

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.

94.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.58

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 22

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

8 suppliers45 claims45 services$36.16 avg. paid by Medicare

Canister, disposable, used with suction pump, each A7000

DME-Other DME · category DE000N

1 supplier11 claims44 services$7.77 avg. paid by Medicare

Tubing, used with suction pump, each A7002

DME-Other DME · category DE000N

1 supplier11 claims44 services$3.70 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

7 suppliers29 claims29 services$104.54 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

7 suppliers28 claims57 services$41.44 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

9 suppliers45 claims173 services$20.21 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

6 suppliers20 claims95 services$13.76 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

13 suppliers61 claims61 services$56.47 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

15 suppliers52 claims52 services$20.69 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

9 suppliers31 claims31 services$18.14 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

15 suppliers86 claims384 services$2.49 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

12 suppliers25 claims25 services$7.37 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

13 suppliers36 claims36 services$12.05 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

7 suppliers70 claims70 services$17.23 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers38 claims38 services$44.50 avg. paid by Medicare

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465

DME-Other DME · category DE005N

2 suppliers19 claims26 services$801.04 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier11 claims11 services$27.33 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

11 suppliers126 claims129 services$91.26 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers37 claims40 services$34.22 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

8 suppliers23 claims5,873 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

3 suppliers12 claims1,566 services$0.09 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

11 suppliers34 claims34 services$24.52 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.

AMANDA NEWBERN LANGVE PT

Physical Therapist

801 N 29TH ST
BILLINGS, MT 59101

Yellowstone County (406) 238-2500

KIRK KENFIELD PA

Physician Assistant (Surgical)

801 N 29TH ST
BILLINGS, MT 59101

Yellowstone County (406) 238-2500

ELIZABETH V CONNOR MD

Obstetrics & Gynecology (Gynecologic Oncology)

801 N 29TH ST
BILLINGS, MT 59101

Yellowstone County (406) 238-5000

ALEXANDER RAMSEY PA-C

Physician Assistant

801 N 29TH ST
BILLINGS, MT 59101

Yellowstone County (406) 238-2500

BILLINGS CLINIC

Occupational Therapist

801 N 29TH ST
BILLINGS, MT 59101

Yellowstone County (406) 238-2500

JERALD A. BELL MD

Ophthalmology

801 N 29TH ST
BILLINGS, MT 59101

Yellowstone County (406) 238-2501

MELANIE SCHMITZ PA-C

Physician Assistant (Surgical)

801 N 29TH ST
BILLINGS, MT 59101

Yellowstone County (406) 238-2500

AARON JAMES AUDET M.D.

Family Medicine

801 N 29TH ST
BILLINGS, MT 59101

Yellowstone County (406) 238-2500

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 Fernando Caceres Lopez's NPI number?

The NPI number for Fernando Caceres Lopez is 1225281033. It was assigned to this individual provider in the NPPES registry on October 24, 2008.

Where is Fernando Caceres Lopez located?

Fernando Caceres Lopez practices at 801 N 29th St Billings Clinic, Billings, MT 59101. The listed phone number is (406) 238-2751.

What is Fernando Caceres Lopez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Fernando Caceres Lopez enrolled in Medicare?

Yes. Fernando Caceres 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 Fernando Caceres Lopez accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Fernando Caceres 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 Fernando Caceres Lopez affiliated with any hospitals?

According to CMS data, Fernando Caceres Lopez is affiliated with Billings Clinic, Glendive Medical Center, Sheridan Memorial Hospital and Powell Valley Hospital.

When was this NPI record last updated?

The NPPES record for Fernando Caceres Lopez was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.