DR. GLADYS HELENA LOPEZ MD
NPI 1336117589
Emergency Medicine in Sedona, AZ

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
97.75/100
CMS Quality Rating
3700 W STATE ROUTE 89A, SEDONA, AZ 86336(928) 204-4100 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2025, Jun 24, 2025, May 24, 2023 (3 updates tracked since 2023).

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

NPI1336117589
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. GLADYS HELENA LOPEZCredential: MD
Location Address3700 W STATE ROUTE 89ASedona, AZ 86336-4937
Mailing Address900 Caton Ave, St. Agnes Hospital Emergency DepartmentBaltimore, MD 21229-5201 · (410) 368-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMarch 14, 2006
Last NPPES UpdateDecember 19, 20253 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
NPI 1336117589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in TN · 75126 Licensed in AZ · 66322 Licensed in MD · D0061799
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3700 W STATE ROUTE 89A, Sedona, AZ 86336

Other Names 1

Other Name (5)Dr. Gladys Helena Lopez Md, Mph

Secondary Practice Locations 2

Location 1900 Caton Ave, St. Agnes Hospital Emergency DepartmentBaltimore, MD 21229-5201 · Phone (410) 368-6000
Location 21314 E Walnut StWashington, IN 47501-2860 · Phone (812) 254-2760 · Fax (812) 254-9031

Other Identifiers 1

Medicaid405296000MD

Accepted 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. 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.

PECOS PAC ID2264408483
PECOS Enrollment IDI20150921000863, I20230126002363, I20250903003658, I20260102000818
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
97 services95 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.
72 services66 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
55 services55 patients

Hospital Affiliations CMS Care Compare 4

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

Daviess Community Hospital

Acute Care Hospitals · Washington, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150061
Location1314 E Walnut StWashington, IN 47501 · Daviess County
Emergency services Birthing friendly

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Penn Highlands Mon Valley

Acute Care Hospitals · Monongahela, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390147
Location1163 Country Club RoadMonongahela, PA 15063 · Washington County
Emergency services

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391315
Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County
Emergency services

Physician 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.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

97.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost92.52

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.

Radiology (Radiation Oncology)
3700 W STATE ROUTE 89A, VERDE VALLEY MEDICAL CENTER - SEDONA
SEDONA, AZ 86336
Emergency Medicine
3700 W STATE ROUTE 89A
SEDONA, AZ 86336
Emergency Medicine
3700 W STATE ROUTE 89A
SEDONA, AZ 86336
Emergency Medicine
3700 W STATE ROUTE 89A
SEDONA, AZ 86336
Emergency Medicine
3700 W STATE ROUTE 89A
SEDONA, AZ 86336
Emergency Medicine
3700 W STATE ROUTE 89A
SEDONA, AZ 86336
Radiology (Radiation Oncology)
3700 W STATE ROUTE 89A, VERDE VALLEY MEDICAL CENTER - SEDONA
SEDONA, AZ 86336
Internal Medicine
3700 W STATE ROUTE 89A
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.

What insurance does Gladys Lopez accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas and CareSource 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 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 7 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.