JOHN LOPERA MD
NPI 1417938689
Internal Medicine in West Palm Beach, FL

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
3325 FOREST HILL BLVD STE A, WEST PALM BEACH, FL 33406(561) 227-5597(561) 249-6162 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 3, 2025, Nov 30, 2020, Jun 29, 2020 (3 updates tracked since 2020).

About John Lopera Md NPPES

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

JOHN LOPERA MD (NPI 1417938689) is an individual internal medicine provider in West Palm Beach, Florida, licensed in Florida (ME91277) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in West Palm Beach, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1417938689
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN LOPERACredential: MD
Location Address3325 FOREST HILL BLVD STE AWest Palm Beach, FL 33406-5812
Mailing Address3325 Forest Hill Blvd Ste AWest Palm Beach, FL 33406-5812 · (561) 227-5597 · Fax (561) 249-6162
Fax(561) 249-6162
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 7, 2005
Last NPPES UpdateJanuary 3, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
✔ NPI 1417938689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME91277
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License ME91277 (FL)
3325 FOREST HILL BLVD STE A, West Palm Beach, FL 33406

Secondary Practice Location 1

Location 13255 Forest Hill Blvd Ste 103West Palm Beach, FL 33406-5854 · Phone (561) 964-4577

Other Identifiers 3

Medicaid271749200FL
Other50338FL · Bcbs
OtherP00307191Rr Mcr

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

John Lopera 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 ID3971583907
PECOS Enrollment IDI20050218000616
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 Reassignments

2

Medicare enrollment records show John Lopera reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
3325 FOREST HILL BLVD STE A
Palm Springs, FL 33406
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
Internal Medicine
3255 FOREST HILL BLVD STE 103
Palm Springs, FL 33406
  • Reassigned Medicare billing, Florida enrollment
  • 33 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.

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.
49 services21 patients
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.
32 services20 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33406 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
3325 FOREST HILL BLVD STE A
WEST PALM BEACH, FL 33406
Internal Medicine
3325 FOREST HILL BLVD STE A
PALM SPRINGS, FL 33406

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 John Lopera's NPI number?

The NPI number for John Lopera is 1417938689. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is John Lopera located?

John Lopera practices at 3325 Forest Hill Blvd Ste A, West Palm Beach, FL 33406. The listed phone number is (561) 227-5597.

What is John Lopera's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Lopera enrolled in Medicare?

Yes. John Lopera 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 John Lopera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Lopera reassigns Medicare benefits to 2 organizations: Soma Medical Center PA #8 (Palm Springs, FL) and Soma Medical Center, PA (Palm Springs, FL). 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 John Lopera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Lopera accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 4 other insurers list John Lopera 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 John Lopera was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.