DR. DAVID JAVIER LOPEZ M.D.
NPI 1275629719
Psychiatry & Neurology - Psychiatry in Cleveland, OH

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
73.87/100
CMS Quality Rating
5158 BROADWAY AVE, CLEVELAND, OH 44127(216) 341-0070(216) 341-0099 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2026, Oct 24, 2019 (2 updates tracked since 2019).

About Dr. David Javier Lopez M.d. NPPES

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

DR. DAVID JAVIER LOPEZ M.D. (NPI 1275629719) is an individual psychiatry provider in Cleveland, Ohio, licensed in Washington (MD60076901) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (1995).

NPPES Registry Identity

NPI1275629719
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. DAVID JAVIER LOPEZCredential: M.D.
Location Address5158 BROADWAY AVECleveland, OH 44127-1592
Mailing Address5158 Broadway AveCleveland, OH 44127-1592 · (216) 341-0070 · Fax (216) 341-0099
Fax(216) 341-0099
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1995
Enumeration DateOctober 4, 2006
Last NPPES UpdateMay 7, 20262 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1275629719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in WA · MD60076901✔ Licensed in ND · 10292
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
5158 BROADWAY AVE, Cleveland, OH 44127

Other Identifiers 2

Medicaid14661ND
Other028934ND · Bc/bs

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David Javier 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 ID648241232
PECOS Enrollment IDI20071009000104, I20180606001379
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

16

Medicare enrollment records show David Lopez reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
5158 BROADWAY AVE
Cleveland, OH 44127
  • Reassigned Medicare billing, Minnesota, North Dakota and Ohio enrollments
Federally Qualified Health Center (FQHC)
6001 WOODLAND AVE
Cleveland, OH 44104
  • Reassigned Medicare billing, Ohio enrollment
  • 29 clinicians in this Medicare group
Psychiatry
3201 E ROYALTON RD
Broadview Heights, OH 44147
  • Reassigned Medicare billing, Virginia enrollment
  • 3 clinicians in this Medicare group
Sleep Disorder Diagnostic
18697 BAGLEY RD # A317
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 54 clinicians in this Medicare group
Chiropractor
150 10TH ST NW
Milaca, MN 56353
  • Reassigned Medicare billing, Minnesota enrollment
  • 97 clinicians in this Medicare group
Clinic/Center
600 PLEASANT AVE S
Park Rapids, MN 56470
  • Reassigned Medicare billing, Minnesota enrollment
  • 66 clinicians in this Medicare group
Critical Access
600 MAIN AVE S
Baudette, MN 56623
  • Reassigned Medicare billing, Minnesota enrollment
  • 21 clinicians in this Medicare group
Critical Access
2400 ST FRANCIS DR
Breckenridge, MN 56520
  • Reassigned Medicare billing, Minnesota enrollment
  • 52 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
301 NP AVE N
Fargo, ND 58102
  • Reassigned Medicare billing, North Dakota enrollment
  • 38 clinicians in this Medicare group
Clinic/Center
905 MAIN ST
Lisbon, ND 58054
  • Reassigned Medicare billing, North Dakota enrollment
  • 55 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

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.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44127 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
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.

73.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.05
Improvement Activities40
Cost95.3

Other Providers at the Same Location NPPES 2

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

Surgery
5158 BROADWAY AVE
CLEVELAND, OH 44127
Psychiatry & Neurology (Psychiatry)
5158 BROADWAY AVE
CLEVELAND, OH 44127

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 David Lopez's NPI number?

The NPI number for David Lopez is 1275629719. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is David Lopez located?

David Lopez practices at 5158 Broadway Ave, Cleveland, OH 44127. The listed phone number is (216) 341-0070.

What is David Lopez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is David Lopez enrolled in Medicare?

Yes. David 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.

Which organizations bill Medicare for David Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Lopez reassigns Medicare benefits to 16 organizations: Psychiatry Networks Inc (Cleveland, OH), Care Alliance (Cleveland, OH), Jlc Services Inc. (Broadview Heights, OH), Premier Physicians Centers, Inc. (Middleburg Heights, OH), Mille Lacs Health System (Milaca, MN) and 11 more organizations, listed in the Medicare section above. 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 David Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Lopez accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of North Dakota and 6 other insurers list David 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 David Lopez was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.