DR. GLADYS HELENA LOPEZ MD
NPI 1336117589
Emergency Medicine in Sedona, AZ
About Dr. Gladys Helena Lopez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GLADYS HELENA LOPEZ MD (NPI 1336117589) is an individual emergency medicine provider in Sedona, Arizona, licensed in Tennessee (75126) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Daviess Community Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Other Identifiers 1
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. Gladys Helena 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.
Medicare Billing Reassignments
12Medicare enrollment records show Gladys Lopez reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mesa, AZ 85202
- Reassigned Medicare billing, Arizona enrollment
- 211 clinicians in this Medicare group
Tucson, AZ 85741
- Reassigned Medicare billing, Arizona enrollment
- 664 clinicians in this Medicare group
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- 1,452 clinicians in this Medicare group
Washington, IN 47501
- Reassigned Medicare billing, Indiana enrollment
- 50 clinicians in this Medicare group
Nashville, TN 37203
- Reassigned Medicare billing, Tennessee enrollment
- 414 clinicians in this Medicare group
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Emergency Professionals Of Indiana PC
- 404 clinicians in this Medicare group
Newport, TN 37821
- Reassigned Medicare billing, Tennessee enrollment
- 664 clinicians in this Medicare group
Brookville, PA 15825
- Reassigned Medicare billing, Pennsylvania enrollment
- Also billed through NPI 1063560852 (Pennsylvania)
- 122 clinicians in this Medicare group
Du Bois, PA 15801
- Reassigned Medicare billing, Pennsylvania enrollment
- 168 clinicians in this Medicare group
Saint Marys, PA 15857
- Reassigned Medicare billing, Pennsylvania enrollment
- 82 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.
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Daviess Community Hospital
Acute Care Hospitals · Washington, INPenn Highlands Huntingdon
Acute Care Hospitals · Huntingdon, PAPenn Highlands Dubois
Acute Care Hospitals · Dubois, PAPenn Highlands Mon Valley
Acute Care Hospitals · Monongahela, PAPenn Highlands Elk
Critical Access Hospitals · Saint Marys, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 86336 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEDONA, AZ 86336
SEDONA, AZ 86336
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 Gladys Lopez's NPI number?
The NPI number for Gladys Lopez is 1336117589. It was assigned to this individual provider in the NPPES registry on March 14, 2006. The provider is also known as Dr. Gladys Helena Lopez MD, Mph.
Where is Gladys Lopez located?
Gladys Lopez practices at 3700 W State Route 89A, Sedona, AZ 86336. The listed phone number is (928) 204-4100.
What is Gladys Lopez's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Gladys Lopez enrolled in Medicare?
Yes. Gladys 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 organizations bill Medicare for Gladys Lopez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gladys Lopez reassigns Medicare benefits to 12 organizations: Progressive Medical Associates PLLC (Mesa, AZ), Northwest Hbp Medical Services LLC (Tucson, AZ), Emergency Medicine Services Of Tx, PLLC (San Antonio, TX), Daviess County Hospital (Washington, IN), Emergency Medicine Services Of Tn, PC (Nashville, TN) and 7 more organizations, listed in the Medicare section above. Each 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 Gladys Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gladys Lopez accept?
Health plans from Blue Cross and Blue Shield of Texas, CareSource, Oscar Insurance Company and UnitedHealthcare list Gladys 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 Gladys Lopez affiliated with any hospitals?
According to CMS data, Gladys Lopez is affiliated with Daviess Community Hospital, Penn Highlands Huntingdon, Penn Highlands Dubois, Penn Highlands Mon Valley and Penn Highlands Elk.
When was this NPI record last updated?
The NPPES record for Gladys Lopez was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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. Gladys Helena Lopez, MD · NPI 1336117589
Emergency Medicine physician in Sedona, Arizona. Individual provider, active in the CMS NPPES registry since March 14, 2006.
## Identity
- **NPI:** 1336117589 (Entity type: Individual)
- **Enumerated:** March 14, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 75126 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 3700 W STATE ROUTE 89A, Sedona, AZ 86336-4937
- **Phone:** (928) 204-4100
## 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:** 12 organizations under Medicare reassignment (form CMS-855R): Progressive Medical Associates PLLC (NPI 1548218613, Mesa, AZ); Northwest Hbp Medical Services LLC (NPI 1407353006, Tucson, AZ); Emergency Medicine Services Of Tx, PLLC (NPI 1245938729, San Antonio, TX); Daviess County Hospital (NPI 1629337589, Washington, IN); Emergency Medicine Services Of Tn, PC (NPI 1720785884, Nashville, TN); and 7 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** December 19, 2025
- **Other identifiers:** Medicaid 405296000 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1336117589) · Data from the CMS NPPES public registry.