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DR. JOSE LOPEZ M.D.
NPI 1316981897
Family Medicine in Berlin, VT

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
130 FISHER RD STE 3-1, BERLIN, VT 05602(802) 225-9000 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2022, Oct 30, 2019, Sep 1, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Jose Lopez M.d. NPPES

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

DR. JOSE LOPEZ M.D. (NPI 1316981897) is an individual family medicine provider in Berlin, Vermont, licensed in Vermont (042-0013453) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Central Vermont Medical Center, and maintains a secondary practice location in Lewisburg.

NPPES Registry Identity

NPI1316981897
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOSE LOPEZCredential: M.D.
Location Address130 FISHER RD STE 3-1Berlin, VT 05602-9000
Mailing Address130 Fisher Rd Unit 1Berlin, VT 05602-8132 · (802) 225-7000
Phone(802) 225-9000
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1999
Enumeration DateJune 15, 2006
Last NPPES UpdateAugust 25, 20224 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
✔ NPI 1316981897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in VT · 042-0013453✔ Licensed in NY · 224329✔ Licensed in PA · MD461662
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
130 FISHER RD STE 3-1, Berlin, VT 05602
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Secondary Practice Location 1

Location 1250 Reitz BlvdLewisburg, PA 17837-6006 · Phone (570) 523-0055

Other Identifiers 1

Medicaid02618133NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Jose 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 ID9335105592
PECOS Enrollment IDI20170503000274
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 6

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.
537 services294 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
110 services110 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.
37 services35 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.
28 services26 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
21 services14 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Central Vermont Medical Center

Acute Care Hospitals · Barre, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470001
LocationBox 547Barre, VT 05641 · Washington County
Emergency services Birthing friendly

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Gifford Medical Center

Critical Access Hospitals · Randolph, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471301
Location44 South Main StreetRandolph, VT 05060 · Orange County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05602 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers47 claims136 services$6.25 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers14 claims21 services$1.08 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers17 claims17 services$40.16 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers13 claims13 services$110.57 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers14 claims14 services$22.13 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers17 claims102 services$2.55 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 7

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

BRANDON ERIC FRANK
Social Worker
130 FISHER RD STE 3-1
BERLIN, VT 05602
Washington County (802) 225-7023
DR. EDUARDS GUNARS ZIEDINS M.D.
Surgery
130 FISHER RD STE 3-1
BERLIN, VT 05602
Washington County (802) 225-7075
ROBERTA UPDEGROVE M.A.
Audiologist
130 FISHER RD STE 3-1
BERLIN, VT 05602
Washington County (802) 225-7025
GRACE ALTEBRANDO R.N.
Nurse Practitioner (Family)
130 FISHER RD STE 3-1
BERLIN, VT 05602
Washington County (802) 225-7000
DR. ANTHONY RASHAD WILLIAMS M.D.
Family Medicine
130 FISHER RD STE 3-1, BERLIN FAMILY MEDICINE
BERLIN, VT 05602
Washington County (802) 225-7000
AMY RENNER APRN
Nurse Practitioner (Family)
130 FISHER RD STE 3-1
BERLIN, VT 05602
Washington County (802) 225-7000
DR. JOHANNA LEE WICKEMEYER MD
Otolaryngology
130 FISHER RD STE 3-1
BERLIN, VT 05602
Washington County (802) 225-7025

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 Jose Lopez's NPI number?

The NPI number for Jose Lopez is 1316981897. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Jose Lopez located?

Jose Lopez practices at 130 Fisher Rd Ste 3-1, Berlin, VT 05602. The listed phone number is (802) 225-9000.

What is Jose Lopez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jose Lopez enrolled in Medicare?

Yes. Jose 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 Jose Lopez accept?

Health plans from Anthem Blue Cross and Blue Shield list Jose 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 Jose Lopez affiliated with any hospitals?

According to CMS data, Jose Lopez is affiliated with Central Vermont Medical Center, Univ. Of Vermont - Fletcher Allen Health Care and Gifford Medical Center.

When was this NPI record last updated?

The NPPES record for Jose Lopez was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.