JOSE A LOPEZ MD
NPI 1396854329
Surgery in Tampa, FL

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
409 BAYSHORE BLVD, TAMPA, FL 33606(813) 844-8335(813) 844-1655 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jose A Lopez Md NPPES

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

JOSE A LOPEZ MD (NPI 1396854329) is an individual surgery provider in Tampa, Florida, licensed in Florida (ME89883) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Ponce School Of Medicine (1998).

NPPES Registry Identity

NPI1396854329
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJOSE A LOPEZCredential: MD
Location Address409 BAYSHORE BLVDTampa, FL 33606-2707
Mailing AddressPo Box 1289Tampa, FL 33601-1289 · (813) 844-7000 · Fax (813) 844-4705
Fax(813) 844-1655
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 1998
Enumeration DateAugust 30, 2006
Last NPPES UpdateMay 20, 2022
NPPES CertifiedMay 20, 2022
NPI 1396854329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in FL · ME89883
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License ME89883 (FL)
409 BAYSHORE BLVD, Tampa, FL 33606

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

Jose A 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 ID8527257724
PECOS Enrollment IDI20110104000386
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 7

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.

Removal or exploration of parathyroid glands 60500
The procedure for removal or exploration of parathyroid glands involves a surgeon making a small incision in the neck to locate and remove one or more of the tiny parathyroid glands. These glands control calcium levels in the body. This procedure helps treat conditions like hyperparathyroidism.
102 services102 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
58 services58 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.
47 services47 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
21 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Tampa General Hospital

Acute Care Hospitals · Tampa, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100128
Location1 Tampa General CirTampa, FL 33606 · Hillsborough County
Emergency services Birthing friendly

Good Samaritan Medical Center

Acute Care Hospitals · West Palm Beach, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100287
Location1309 N Flagler DrWest Palm Beach, FL 33401 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33606 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

Reported Quality Measures

Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
100%331 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%338 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Surgery
409 BAYSHORE BLVD
TAMPA, FL 33606
Nurse Practitioner
409 BAYSHORE BLVD
TAMPA, FL 33606
Transplant Surgery
409 BAYSHORE BLVD
TAMPA, FL 33606
Surgery
409 BAYSHORE BLVD
TAMPA, FL 33606
Internal Medicine (Gastroenterology)
409 BAYSHORE BLVD
TAMPA, FL 33606
Transplant Surgery
409 BAYSHORE BLVD
TAMPA, FL 33606
Nurse Practitioner
409 BAYSHORE BLVD
TAMPA, FL 33606
Nurse Practitioner
409 BAYSHORE BLVD
TAMPA, FL 33606

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 1396854329. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Jose Lopez located?

Jose Lopez practices at 409 Bayshore Blvd, Tampa, FL 33606. The listed phone number is (813) 844-8335.

What is Jose Lopez's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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 Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 5 other insurers 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 St Josephs Hospital, Tampa General Hospital and Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Jose Lopez was last updated on May 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.