MIGUEL LOPEZ
NPI 1316471303
Family Medicine - Sports Medicine in Monroe, LA

Q: What is Miguel Lopez's NPI number?

The NPI number for Miguel Lopez is 1316471303. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Q: What is Miguel Lopez's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Miguel Lopez was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 17, 2017PECOS EnrolledAccepts Medicare Assignment

4864 JACKSON ST, MONROE, LA 71202(318) 330-7000 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 24, 2023, Aug 10, 2023, Apr 9, 2019 and 1 more (4 updates tracked since 2017).

On this page

About Miguel Lopez NPPES

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

MIGUEL LOPEZ (NPI 1316471303) is an individual sports medicine provider in Monroe, Louisiana, licensed in Louisiana (338082) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lsu Health Monroe, and is a graduate of University Of Louisville School Of Medicine (2019).

NPPES Registry Identity

NPI1316471303

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameMIGUEL LOPEZ

Location Address4864 JACKSON STMonroe, LA 71202-6400

Mailing Address1512 W Kirby PlShreveport, LA 71103-3822 · (318) 626-0287

Phone(318) 330-7000

Sole ProprietorYes

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2019

Enumeration DateApril 17, 2017

Last NPPES UpdateOctober 24, 20234 updates tracked since enumeration

NPPES CertifiedOctober 24, 2023

✔ NPI 1316471303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in LA · 338082

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 338082 (LA)

4864 JACKSON ST, Monroe, LA 71202

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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

Miguel Lopez 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 ID42547473

PECOS Enrollment IDI20230911000314

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 3

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 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.

117 services91 patients

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.

25 services23 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.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Ochsner Lsu Health Monroe

Acute Care Hospitals · Monroe, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190011

Location4864 Jackson StreetMonroe, LA 71202 · Ouachita County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71202 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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.

DR. EDDYE BLOSSOM II MD

Obstetrics & Gynecology

4864 JACKSON ST
MONROE, LA 71202

Ouachita Parish (318) 330-7626

MISS KANDICE NICOLE HUNTER APRN, AGNP

Nurse Practitioner

4864 JACKSON ST
MONROE, LA 71202

Ouachita Parish (318) 330-7000

HARNOOR SANDHU

Student in an Organized Health Care Education/Training Program

4864 JACKSON ST
MONROE, LA 71202

Ouachita Parish (318) 330-7600

JEFFERY FULLER M.D.

Emergency Medicine

4864 JACKSON ST, DEPARTMENT OF EMERGENCY MEDICAL SERVICES
MONROE, LA 71202

Ouachita Parish (318) 675-7737

DR. WILLIAM TODD YATES MD

Family Medicine

4864 JACKSON ST
MONROE, LA 71202

Ouachita Parish (318) 330-7626

SHANKAR NADESAN MD

Student in an Organized Health Care Education/Training Program

4864 JACKSON ST, DEPT. OF FAMILY MEDICINE
MONROE, LA 71202

Ouachita Parish (318) 330-7615

ANN MARIE CLACK WHNP

Nurse Practitioner (Women's Health)

4864 JACKSON ST
MONROE, LA 71202

Ouachita Parish (318) 330-7000

MR. JONATHAN D BREWER PA

Physician Assistant (Medical)

4864 JACKSON ST
MONROE, LA 71202

Ouachita Parish (318) 330-7626

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 Miguel Lopez's NPI number?

The NPI number for Miguel Lopez is 1316471303. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Miguel Lopez located?

Miguel Lopez practices at 4864 Jackson St, Monroe, LA 71202. The listed phone number is (318) 330-7000.

What is Miguel Lopez's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Miguel Lopez enrolled in Medicare?

Yes. Miguel 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 Miguel Lopez accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Miguel 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 Miguel Lopez affiliated with any hospitals?

According to CMS data, Miguel Lopez is affiliated with Ochsner Lsu Health Monroe.

When was this NPI record last updated?

The NPPES record for Miguel Lopez was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.