DR. SEBASTIAN LOPEZ DO
NPI 1285261065
Surgery in Charleston, WV
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, is affiliated with Cleveland Clinic Martin North Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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. 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.
Medicare Billing Reassignment
Medicare enrollment records show Sebastian Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Palm Beach, FL 33401
- Reassigned Medicare billing, Florida enrollment
- 528 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cleveland Clinic Martin North Hospital
Acute Care Hospitals · Stuart, FLPhysician 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.
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.
CHARLESTON, WV 25304
CHARLESTON, WV 25304
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.
Which organization bills Medicare for Sebastian Lopez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sebastian Lopez reassigns Medicare benefits to Tenet Florida Physician Services LLC (West Palm Beach, FL). The 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 Sebastian Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sebastian Lopez accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Florida Blue (BlueCross BlueShield FL) and 5 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.
Is Sebastian Lopez affiliated with any hospitals?
According to CMS data, Sebastian Lopez is affiliated with Cleveland Clinic Martin North Hospital.
When was this NPI record last updated?
The NPPES record for Sebastian Lopez was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Sebastian Lopez, DO · NPI 1285261065
Surgery physician in Charleston, West Virginia. Individual provider, active in the CMS NPPES registry since March 24, 2020.
## Identity
- **NPI:** 1285261065 (Entity type: Individual)
- **Enumerated:** March 24, 2020
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** OS22194 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 3200 MACCORKLE AVE SE, Charleston, WV 25304-1227
- **Phone:** (304) 388-5590 · **Fax:** (304) 388-8238
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tenet Florida Physician Services LLC (NPI 1659417467, West Palm Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lincoln Memorial University Medical Department, class of 2020
## Record status
- **NPPES last updated:** August 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1285261065) · Data from the CMS NPPES public registry.