1. Home
  2. Directory
  3. Texas
  4. San Marcos
  5. Family Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GUSTAVO BOETA-LOPEZ MD
NPI 1275282873
Family Medicine in San Marcos, TX

Active since March 21, 2022PECOS Enrolled
1941 S INTERSTATE 35 STE 101, SAN MARCOS, TX 78666(210) 233-7000 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2026, May 30, 2023, May 25, 2023 (3 updates tracked since 2023).

About Dr. Gustavo Boeta-lopez Md NPPES

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

DR. GUSTAVO BOETA-LOPEZ MD (NPI 1275282873) is an individual family medicine provider in San Marcos, Texas, licensed in Texas (V9856) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Edgar B Davis, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1275282873
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GUSTAVO BOETA-LOPEZCredential: MD
Location Address1941 S INTERSTATE 35 STE 101San Marcos, TX 78666-6169
Mailing Address1941 S Interstate 35 Ste 101San Marcos, TX 78666-6169 · (210) 233-7000
Phone(210) 233-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 21, 2022
Last NPPES UpdateJuly 31, 20263 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1275282873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · V9856
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.
1941 S INTERSTATE 35 STE 101, San Marcos, TX 78666
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Dr. Gustavo Boeta-lopez 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 ID5890295547
PECOS Enrollment IDI20250826002751
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.

Hospital Affiliations CMS Care Compare

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

Ascension Seton Edgar B Davis

Critical Access Hospitals · Luling, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451371
Location130 Hays StreetLuling, TX 78648 · Caldwell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78666 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 3

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

DR. SHAWN JEFFREY WALKER JR. MD
Pediatrics
1941 S INTERSTATE 35 STE 101
SAN MARCOS, TX 78666
Hays County (512) 268-8900
RICHARD SCOTT ARTHUR
Nurse Practitioner (Family)
1941 S INTERSTATE 35 STE 101
SAN MARCOS, TX 78666
Hays County (210) 233-7000
BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1941 S INTERSTATE 35 STE 101
SAN MARCOS, TX 78666
Hays County (512) 392-1718

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 Gustavo Boeta-lopez's NPI number?

The NPI number for Gustavo Boeta-lopez is 1275282873. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Gustavo Boeta-lopez located?

Gustavo Boeta-lopez practices at 1941 S Interstate 35 Ste 101, San Marcos, TX 78666. The listed phone number is (210) 233-7000.

What is Gustavo Boeta-lopez's specialty?

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

Is Gustavo Boeta-lopez enrolled in Medicare?

Yes. Gustavo Boeta-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 Gustavo Boeta-lopez accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Gustavo Boeta-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 Gustavo Boeta-lopez affiliated with any hospitals?

According to CMS data, Gustavo Boeta-lopez is affiliated with Ascension Seton Edgar B Davis.

When was this NPI record last updated?

The NPPES record for Gustavo Boeta-lopez was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.