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DR. NICHOLAS MICHAEL LOPEZ M.D.
NPI 1316037005
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Paducah, KY

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
2601 KENTUCKY AVE, SUITE 300, PADUCAH, KY 42003(270) 443-5564(270) 443-5549 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicholas Michael Lopez M.d. NPPES

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

DR. NICHOLAS MICHAEL LOPEZ M.D. (NPI 1316037005) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Paducah, Kentucky, licensed in Kentucky (42975) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Murray-calloway County Hospital, and is a graduate of University Of Michigan Medical School (2000).

NPPES Registry Identity

NPI1316037005
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. NICHOLAS MICHAEL LOPEZCredential: M.D.
Location Address2601 KENTUCKY AVE, SUITE 300Paducah, KY 42003-3817
Mailing Address2605 Kentucky Ave, Suite 306Paducah, KY 42003-3800 · (270) 415-7653 · Fax (207) 575-8359
Phone(270) 443-5564
Fax(270) 443-5549
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2000
Enumeration DateOctober 13, 2006
Last NPPES UpdateDecember 10, 2020
NPPES CertifiedDecember 10, 2020
✔ NPI 1316037005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in KY · 42975
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
2601 KENTUCKY AVE, Paducah, KY 42003
Open in Google Maps ↗

Other Identifiers 1

Medicaid64113764KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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. Nicholas Michael 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 ID8921056862
PECOS Enrollment IDI20050107000447
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 10

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
158 services138 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
96 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
80 services80 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
49 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services31 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
31 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Murray-Calloway County Hospital

Acute Care Hospitals · Murray, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180027
Location803 Poplar StreetMurray, KY 42071 · Calloway County
Emergency services Birthing friendly

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180104
Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Marshall County Hospital

Critical Access Hospitals · Benton, KY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number181327
Location615 Old Symsonia RoadBenton, KY 42025 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42003 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims13 services$19.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BELINDA JENKINS
Nurse Practitioner (Family)
2601 KENTUCKY AVE, SUITE 301
PADUCAH, KY 42003
McCracken County (270) 759-4098
BAPTIST HEALTHCARE SYSTEM INC
Pharmacy (Community/Retail Pharmacy)
2601 KENTUCKY AVE, MEDICAL PARK 1, SUITE 101
PADUCAH, KY 42003
McCracken County (270) 575-5870
DR. BRADLEY B MCELROY M.D.
Internal Medicine (Cardiovascular Disease)
2601 KENTUCKY AVE, SUITE 301
PADUCAH, KY 42003
McCracken County (270) 575-3113
ASHLEY C JENKS APRN
Nurse Practitioner (Family)
2601 KENTUCKY AVE, SUITE 301
PADUCAH, KY 42003
McCracken County (270) 575-3113
WESTERN KENTUCKY HEART & CHEST SURGERY
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2601 KENTUCKY AVE, STE 300
PADUCAH, KY 42003
McCracken County (270) 443-5564
DR. MARTIN RAINS M.D.
Internal Medicine (Interventional Cardiology)
2601 KENTUCKY AVE, SUITE 300
PADUCAH, KY 42003
McCracken County (270) 575-3113
DR. CARL M JOHNSON M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2601 KENTUCKY AVE, STE 300
PADUCAH, KY 42003
McCracken County (270) 443-5564
WESTERN BAPTIST MEDICAL VENTURES INC
Clinic/Center (Primary Care)
2601 KENTUCKY AVE, SUITE 103
PADUCAH, KY 42003
McCracken County (270) 443-4311

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 Nicholas Lopez's NPI number?

The NPI number for Nicholas Lopez is 1316037005. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Nicholas Lopez located?

Nicholas Lopez practices at 2601 Kentucky Ave Suite 300, Paducah, KY 42003. The listed phone number is (270) 443-5564.

What is Nicholas Lopez's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Nicholas Lopez enrolled in Medicare?

Yes. Nicholas 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 Nicholas Lopez accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Nicholas 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 Nicholas Lopez affiliated with any hospitals?

According to CMS data, Nicholas Lopez is affiliated with Murray-Calloway County Hospital, Baptist Health Paducah and Marshall County Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Lopez was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.