DR. WILMA LOPEZ MD
NPI 1306803317
Internal Medicine in Westbury, NY

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
972 BRUSH HOLLOW RD, WESTBURY, NY 11590(516) 876-5555(516) 876-5539 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Wilma Lopez Md NPPES

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

DR. WILMA LOPEZ MD (NPI 1306803317) is an individual internal medicine provider in Westbury, New York, licensed in New York (235589) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of New York Medical College (2000).

NPPES Registry Identity

NPI1306803317
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. WILMA LOPEZCredential: MD
Location Address972 BRUSH HOLLOW RDWestbury, NY 11590-1740
Mailing Address300 Community Drive, Nsuh- Dept Of NeurosurgeryManhasset, NY 11030 · (516) 562-3020
Fax(516) 876-5539
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2000
Enumeration DateApril 26, 2006
Last NPPES UpdateJanuary 10, 2024
NPPES CertifiedJanuary 10, 2024
NPI 1306803317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 235589
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.

972 BRUSH HOLLOW RD, Westbury, NY 11590

Other Identifiers 1

Medicaid02662155NY

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. Wilma 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 ID6901833755
PECOS Enrollment IDI20050722000669
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
274 services152 patients

Hospital Affiliations CMS Care Compare 2

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

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11590 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 20

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

Neurological Surgery
972 BRUSH HOLLOW RD
WESTBURY, NY 11590
Pediatrics (Neonatal-Perinatal Medicine)
972 BRUSH HOLLOW RD
WESTBURY, NY 11590
Radiology (Vascular & Interventional Radiology)
972 BRUSH HOLLOW RD, 4TH FLOOR
WESTBURY, NY 11590
Ophthalmology
972 BRUSH HOLLOW RD
WESTBURY, NY 11590
Surgery
972 BRUSH HOLLOW RD
WESTBURY, NY 11590
Nurse Practitioner (Perinatal)
972 BRUSH HOLLOW RD
WESTBURY, NY 11590
Ambulance
972 BRUSH HOLLOW RD, 5TH FLOOR FINANCE
WESTBURY, NY 11590
Neurological Surgery
972 BRUSH HOLLOW RD
WESTBURY, NY 11590

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306803317, enumerated as an "individual" on April 26, 2006.

The provider is located at 972 BRUSH HOLLOW RD WESTBURY, NY 11590 and the phone number is (516) 876-5555.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Wilma Lopez is affiliated with: JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON and GOOD SAMARITAN HOSPITAL MEDICAL CENTER.