DR. SEBASTIAN LOPEZ DO
NPI 1285261065
Surgery in Charleston, WV

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 388-5590(304) 388-8238 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sebastian Lopez Do NPPES

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

DR. SEBASTIAN LOPEZ DO (NPI 1285261065) is an individual surgery provider in Charleston, West Virginia, licensed in Florida (OS22194) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Lincoln Memorial University Medical Department (2020).

NPPES Registry Identity

NPI1285261065
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. SEBASTIAN LOPEZCredential: DO
Location Address3200 MACCORKLE AVE SECharleston, WV 25304-1227
Mailing Address3200 Maccorkle Ave SeCharleston, WV 25304-1227
Fax(304) 388-8238
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2020
Enumeration DateMarch 24, 2020
Last NPPES UpdateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
NPI 1285261065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in FL · OS22194
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

3200 MACCORKLE AVE SE, Charleston, WV 25304

Secondary Practice Locations 2

Location 1310 SE Veranda Falls WayPort Saint Lucie, FL 34984-2101 · Phone (772) 609-8500
Location 2900 SE Becker RdPort Saint Lucie, FL 34984-6641 · Phone (772) 800-5110 · Fax (772) 621-2935

Accepted 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. Sebastian Lopez Do 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 ID9830513811
PECOS Enrollment IDI20250804000028
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

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.

Emergency Medicine
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Registered Nurse
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Nurse Practitioner (Family)
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARSTON, WV 25304
Family Medicine
3200 MACCORKLE AVE SE, FIFTH FLOOR
CHARLESTON, WV 25304
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE, DEPT. OF SURGERY
CHARLESTON, WV 25304
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304

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 Sebastian Lopez's NPI number?

The NPI number for Sebastian Lopez is 1285261065. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Sebastian Lopez located?

Sebastian Lopez practices at 3200 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 388-5590.

What is Sebastian Lopez's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sebastian Lopez enrolled in Medicare?

Yes. Sebastian 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 Sebastian Lopez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Sebastian 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 Sebastian Lopez was last updated on August 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.