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DR. ISMAEL PADILLA LOPEZ MD
NPI 1417033994
Obstetrics & Gynecology - Gynecology in Las Cruces, NM

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
72.77/100
CMS Quality Rating
4351 E LOHMAN AVE STE 408, LAS CRUCES, NM 88011(575) 532-7161(575) 522-3743 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2020, Nov 3, 2017 (2 updates tracked since 2017).

About Dr. Ismael Padilla Lopez Md NPPES

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

DR. ISMAEL PADILLA LOPEZ MD (NPI 1417033994) is an individual gynecology provider in Las Cruces, New Mexico, licensed in New Mexico (92-165) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1981).

NPPES Registry Identity

NPI1417033994
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameDR. ISMAEL PADILLA LOPEZCredential: MD
Location Address4351 E LOHMAN AVE STE 408Las Cruces, NM 88011-8263
Mailing Address4351 E Lohman Ave Ste 408Las Cruces, NM 88011-8263 · (575) 532-7161 · Fax (575) 522-3743
Phone(575) 532-7161
Fax(575) 522-3743
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1981
Enumeration DateOctober 27, 2006
Last NPPES UpdateSeptember 9, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2020
✔ NPI 1417033994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in NM · 92-165
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
4351 E LOHMAN AVE STE 408, Las Cruces, NM 88011
Open in Google Maps ↗

Other Identifiers 5

Other202018555NM · Presbyterian
OtherNM002M09NM · Bluecross Blueshield
Other600521042NM · Group Ptan
Other7300534NM · Aetna
MedicaidE4953NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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. Ismael Padilla 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 ID749176444
PECOS Enrollment IDI20080116000370
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.

Medicare Billing Reassignment

Medicare enrollment records show Ismael Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Three Crosses Regional Hospital LLC
3.0 mi
Multi-Specialty
2560 SAMARITAN DR
Las Cruces, NM 88001
  • Reassigned Medicare billing, New Mexico enrollment
  • 85 clinicians in this Medicare group
NPI 1487248050 (575) 800-3760

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 5

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 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.
93 services58 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
38 services38 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.
18 services18 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.
13 services11 patients
Biopsy of lining of uterus and/or removal of polyp using an endoscope 58558
This procedure involves using a thin, flexible tool (endoscope) to examine and possibly remove a small tissue sample from the inner layer of your uterus. It may also involve removing a growth. It helps to identify any issues and plan the right treatment.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Medical Center

Acute Care Hospitals · Las Cruces, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320018
Location2450 South Telshor BlvdLas Cruces, NM 88011 · Dona Ana County
Emergency services Birthing friendly

Mountain View Regional Medical Center

Acute Care Hospitals · Las Cruces, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320085
Location4311 East Lohman AvenueLas Cruces, NM 88011 · Dona Ana County
Emergency services Birthing friendly

Three Crosses Regional Hospital LLC

Acute Care Hospitals · Las Cruces, NM
OwnershipProprietary
CMS Certification Number320091
Location2560 Samaritan DriveLas Cruces, NM 88001 · Dona Ana County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88011 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

72.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.47
Promoting Interoperability100
Improvement Activities40
Cost47.77

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
61%523 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
83%1,059 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
20%575 patients1/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
62%45 patients3/55-star benchmark: 99%
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%2,490 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
34%1,566 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 92% · 1,209 patients
Patients tobacco: 6% · 54 patients
84%1,209 patients4/55-star benchmark: 98%
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.

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 Ismael Lopez's NPI number?

The NPI number for Ismael Lopez is 1417033994. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Ismael Lopez located?

Ismael Lopez practices at 4351 E Lohman Ave Ste 408, Las Cruces, NM 88011. The listed phone number is (575) 532-7161.

What is Ismael Lopez's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Ismael Lopez enrolled in Medicare?

Yes. Ismael 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 organization bills Medicare for Ismael Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ismael Lopez reassigns Medicare benefits to Three Crosses Regional Hospital LLC (Las Cruces, NM). The 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 Ismael Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ismael Lopez accept?

Health plans from Blue Cross and Blue Shield of Texas list Ismael 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 Ismael Lopez affiliated with any hospitals?

According to CMS data, Ismael Lopez is affiliated with Memorial Medical Center, Mountain View Regional Medical Center and Three Crosses Regional Hospital LLC.

When was this NPI record last updated?

The NPPES record for Ismael Lopez was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.