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SCOTT DAVID LOPATA M.D
NPI 1356390843
Emergency Medicine in Sun City, AZ

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
10401 WEST THUNDERBIRD BLVD., SUN CITY, AZ 85351(623) 977-7211 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scott David Lopata M.d NPPES

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

SCOTT DAVID LOPATA M.D (NPI 1356390843) is an individual emergency medicine provider in Sun City, Arizona, licensed in California (A68419) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (1996).

NPPES Registry Identity

NPI1356390843
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSCOTT DAVID LOPATACredential: M.D
Location Address10401 WEST THUNDERBIRD BLVD.Sun City, AZ 85351
Mailing Address2100 Powell Street Ste 920Emeryville, CA 94608-1803 · (510) 350-2777
Phone(623) 977-7211
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1996
Enumeration DateMay 10, 2006
Last NPPES UpdateDecember 18, 2023
NPPES CertifiedDecember 18, 2023
✔ NPI 1356390843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in CA · A68419✔ Licensed in AZ · 35566
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.
10401 WEST THUNDERBIRD BLVD., Sun City, AZ 85351
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Other Identifiers 1

Medicaid122221AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Molina Healthcare.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

Scott David Lopata 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 ID1850304270
PECOS Enrollment IDI20060803000058, I20130711000845
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 4

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.
98 services98 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.
23 services22 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.
19 services19 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85351 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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

Other Providers at the Same Location NPPES 3

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

JOEL ALAN GROSS M.D
Emergency Medicine
10401 WEST THUNDERBIRD BLVD.
SUN CITY, AZ 85351
Maricopa County (623) 977-7211
ELLEN ANN LENG M.D
Emergency Medicine
10401 WEST THUNDERBIRD BLVD.
SUN CITY, AZ 85351
Maricopa County (623) 977-7211
GREGORY ALAN GREENBAUM M.D
Emergency Medicine
10401 WEST THUNDERBIRD BLVD.
SUN CITY, AZ 85351
Maricopa County (623) 977-7211

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 Scott Lopata's NPI number?

The NPI number for Scott Lopata is 1356390843. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Scott Lopata located?

Scott Lopata practices at 10401 West Thunderbird Blvd., Sun City, AZ 85351. The listed phone number is (623) 977-7211.

What is Scott Lopata's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Scott Lopata enrolled in Medicare?

Yes. Scott Lopata 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 Scott Lopata accept?

Health plans from Blue Cross Blue Shield of Arizona and Molina Healthcare list Scott Lopata 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.

When was this NPI record last updated?

The NPPES record for Scott Lopata was last updated on December 18, 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.