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ALFREDO LOPEZ FIGUEROA D.O.
NPI 1457333221
Family Medicine in Grove City, OH

Active since November 17, 2005PECOS EnrolledAccepts Medicare Assignment
4072 GANTZ RD, GROVE CITY, OH 43123(614) 875-0011(614) 539-7287 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 17, 2025, Apr 30, 2019 (2 updates tracked since 2019).

About Alfredo Lopez Figueroa D.o. NPPES

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

ALFREDO LOPEZ FIGUEROA D.O. (NPI 1457333221) is an individual family medicine provider in Grove City, Ohio, licensed in Ohio (34008648) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Ohio University, College Of Osteopathic Medicine (2002).

NPPES Registry Identity

NPI1457333221
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameALFREDO LOPEZ FIGUEROACredential: D.O.
Location Address4072 GANTZ RDGrove City, OH 43123-4816
Mailing Address4072 Gantz RdGrove City, OH 43123-4816 · (614) 875-0011 · Fax (614) 539-7287
Phone(614) 875-0011
Fax(614) 539-7287
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2002
Enumeration DateNovember 17, 2005
Last NPPES UpdateNovember 17, 20252 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
✔ NPI 1457333221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34008648
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4072 GANTZ RD, Grove City, OH 43123
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Other Identifiers 1

Medicaid2738032OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Alfredo Lopez Figueroa D.o. 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 ID8729098678
PECOS Enrollment IDI20060424000014
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

3

Medicare enrollment records show Alfredo Figueroa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

American Health Network Of Ohio, LLC
Same address
Family Medicine
4072 GANTZ RD
Grove City, OH 43123
  • Reassigned Medicare billing, Ohio enrollment
  • 74 clinicians in this Medicare group
NPI 1336188861 (614) 875-0011
Columbus Neighborhood Health Center Inc
4.9 mi
Federally Qualified Health Center (FQHC)
1905 PARSONS AVE
Columbus, OH 43207
  • Reassigned Medicare billing, Ohio enrollment
  • 117 clinicians in this Medicare group
NPI 1710310594 (614) 586-4159
Ohiohealth Corporation
6.6 mi
Anesthesiology
111 S GRANT AVE FL 3
Columbus, OH 43215
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1407292105 (614) 566-8808

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

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
15 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43123 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 5

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

DOUGLAS C WALLACE MD
Family Medicine
4072 GANTZ RD
GROVE CITY, OH 43123
Franklin County (614) 875-0011
AMERICAN HEALTH NETWORK OF OHIO, LLC
Family Medicine
4072 GANTZ RD
GROVE CITY, OH 43123
Franklin County (614) 875-0011
DR. CECILIA A MOY DDS
Dentist (Pediatric Dentistry)
4072 GANTZ RD
GROVE CITY, OH 43123
Franklin County (614) 871-3700
FRANCISCO C BUENDIA JR. MD
Family Medicine
4072 GANTZ RD
GROVE CITY, OH 43123
Franklin County (614) 875-0011
MELISSA KAY KING NP-C
Nurse Practitioner (Family)
4072 GANTZ RD
GROVE CITY, OH 43123
Franklin County (614) 875-0011

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 Alfredo Figueroa's NPI number?

The NPI number for Alfredo Figueroa is 1457333221. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Alfredo Figueroa located?

Alfredo Figueroa practices at 4072 Gantz Rd, Grove City, OH 43123. The listed phone number is (614) 875-0011.

What is Alfredo Figueroa's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Alfredo Figueroa enrolled in Medicare?

Yes. Alfredo Figueroa 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 Alfredo Figueroa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alfredo Figueroa reassigns Medicare benefits to 3 organizations: American Health Network Of Ohio, LLC (Grove City, OH), Columbus Neighborhood Health Center Inc (Columbus, OH) and Ohiohealth Corporation (Columbus, OH). 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 Alfredo Figueroa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alfredo Figueroa accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 4 other insurers list Alfredo Figueroa 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 Alfredo Figueroa affiliated with any hospitals?

According to CMS data, Alfredo Figueroa is affiliated with Riverside Methodist Hospital, Grant Medical Center and Mount Carmel East & West.

When was this NPI record last updated?

The NPPES record for Alfredo Figueroa was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.