BALDIR A LOPEZ ACOSTA MD
NPI 1245547355
Internal Medicine in Lehigh Acres, FL

Active since September 10, 2010PECOS EnrolledAccepts Medicare Assignment
82.41/100
CMS Quality Rating
1154 LEE BLVD, SUITE 4, LEHIGH ACRES, FL 33936(347) 852-5705 Get Directions Write a Review

NPPES record last updated: August 26, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Baldir A Lopez Acosta Md NPPES

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

BALDIR A LOPEZ ACOSTA MD (NPI 1245547355) is an individual internal medicine provider in Lehigh Acres, Florida, licensed in Florida (ME109802) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1245547355
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBALDIR A LOPEZ ACOSTACredential: MD
Location Address1154 LEE BLVD, SUITE 4Lehigh Acres, FL 33936-4852
Mailing Address1154 Lee Blvd, Suite 4Lehigh Acres, FL 33936-4852 · (347) 852-5705
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 10, 2010
Last NPPES UpdateAugust 26, 2014
NPI 1245547355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME109802
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License ME109802 (FL)
1154 LEE BLVD, Lehigh Acres, FL 33936

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

Baldir A Lopez Acosta Md 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 ID6608047162
PECOS Enrollment IDI20110914000403
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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,751 services339 patients
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484
Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.
567 services127 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
296 services131 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.
178 services178 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
116 services116 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
81 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33936 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

82.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost14.75

Referred Medical Equipment & Supplies CMS DME claims 12

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

Walker, with trunk support, adjustable or fixed height, any type E0140
DME-Other DME · category DE000N
1 supplier12 claims12 services$21.54 avg. paid by Medicare
Walker, rigid, wheeled, adjustable or fixed height E0141
DME-Other DME · category DE000N
1 supplier16 claims16 services$59.01 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
1 supplier29 claims29 services$56.51 avg. paid by Medicare
Heel loop/holder, any type, with or without ankle strap, each E0951
DME-Wheelchairs · category DD000N
1 supplier16 claims32 services$10.74 avg. paid by Medicare
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each E0973
DME-Wheelchairs · category DD021N
1 supplier16 claims32 services$48.78 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
2 suppliers11 claims11 services$69.98 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 7

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

Internal Medicine
1154 LEE BLVD, SUITE 4
LEHIGH ACRES, FL 33936
Internal Medicine (Cardiovascular Disease)
1154 LEE BLVD, UNIT 2
LEHIGH ACRES, FL 33936
Behavior Technician
1154 LEE BLVD
LEHIGH ACRES, FL 33936
Internal Medicine
1154 LEE BLVD, STE 4
LEHIGH ACRES, FL 33936
Family Medicine
1154 LEE BLVD, SUITE 4
LEHIGH ACRES, FL 33936
Durable Medical Equipment & Medical Supplies
1154 LEE BLVD, SUITE 1
LEHIGH ACRES, FL 33936
Behavior Technician
1154 LEE BLVD
LEHIGH ACRES, FL 33936

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 Baldir Lopez Acosta's NPI number?

The NPI number for Baldir Lopez Acosta is 1245547355. It was assigned to this individual provider in the NPPES registry on September 10, 2010.

Where is Baldir Lopez Acosta located?

Baldir Lopez Acosta practices at 1154 Lee Blvd Suite 4, Lehigh Acres, FL 33936. The listed phone number is (347) 852-5705.

What is Baldir Lopez Acosta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Baldir Lopez Acosta enrolled in Medicare?

Yes. Baldir Lopez Acosta 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.

When was this NPI record last updated?

The NPPES record for Baldir Lopez Acosta was last updated on August 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.