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NICOLE LOPEZ MD
NPI 1477587079
Family Medicine in Amarillo, TX

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1400 S COULTER ST, AMARILLO, TX 79106(806) 414-9559(806) 351-3765 Get Directions Write a Review

NPPES record last updated: April 25, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2018, Mar 17, 2018, Dec 4, 2017 (3 updates tracked since 2017).

About Nicole Lopez Md NPPES

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

NICOLE LOPEZ MD (NPI 1477587079) is an individual family medicine provider in Amarillo, Texas, licensed in Texas (L2431) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Northwest Texas Hospital, and is a graduate of Texas Tech University Health Science Center School Of Medicine (1999).

NPPES Registry Identity

NPI1477587079
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNICOLE LOPEZCredential: MD
Location Address1400 S COULTER STAmarillo, TX 79106-1786
Mailing Address1400 Wallace BlvdAmarillo, TX 79106-1708 · (806) 414-9559 · Fax (806) 351-3765
Phone(806) 414-9559
Fax(806) 351-3765
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1999
Enumeration DateJuly 10, 2006
Last NPPES UpdateApril 25, 20183 updates tracked since enumeration
✔ NPI 1477587079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · L2431
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.
1400 S COULTER ST, Amarillo, TX 79106
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Other Identifiers 5

Medicaid151785606TX
Medicaid151785607TX
Medicaid84426756NM
Medicaid100848160AOK
Medicaid151785608TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Nicole 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 ID1850348178
PECOS Enrollment IDI20050407000930
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 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 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.
145 services95 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
81 services33 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.
70 services64 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
21 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Northwest Texas Hospital

Acute Care Hospitals · Amarillo, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450209
Location1501 S Coulter StAmarillo, TX 79106 · Potter County
Emergency services Birthing friendly

Bsa Hospital

Acute Care Hospitals · Amarillo, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450231
Location1600 Wallace BlvdAmarillo, TX 79106 · Potter County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79106 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.19
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers16 claims16 services$104.46 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers15 claims33 services$36.01 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers16 claims16 services$16.38 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers14 claims72 services$2.60 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers47 claims47 services$16.57 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers14 claims14 services$905.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. TIFFANY SHEA THOMPSON RNC, NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
1400 S COULTER ST
AMARILLO, TX 79106
Potter County (806) 414-9180
KHALID ALYAMI
Student in an Organized Health Care Education/Training Program
1400 S COULTER ST, SUITE 5100
AMARILLO, TX 79106
Potter County (806) 414-9559
BRENDA CHESLEY
Nurse Practitioner (Pediatrics)
1400 S COULTER ST
AMARILLO, TX 79106
Potter County (806) 414-9800
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER AMARILLO
Family Medicine
1400 S COULTER ST
AMARILLO, TX 79106
Potter County (806) 414-9559
DAVID EGERTON PHD
Psychologist (Family)
1400 S COULTER ST
AMARILLO, TX 79106
Potter County (806) 351-3777
TERESA BAKER MD
Obstetrics & Gynecology
1400 S COULTER ST
AMARILLO, TX 79106
Potter County (806) 414-9650
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER AMARILLO
Surgery
1400 S COULTER ST
AMARILLO, TX 79106
Potter County (806) 414-9558
JOHN SCOTT MILTON MD
Internal Medicine (Infectious Disease)
1400 S COULTER ST
AMARILLO, TX 79106
Potter County (806) 354-5480

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 Nicole Lopez's NPI number?

The NPI number for Nicole Lopez is 1477587079. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Nicole Lopez located?

Nicole Lopez practices at 1400 S Coulter St, Amarillo, TX 79106. The listed phone number is (806) 414-9559.

What is Nicole Lopez's specialty?

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

Is Nicole Lopez enrolled in Medicare?

Yes. Nicole 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 Nicole Lopez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Nicole 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 Nicole Lopez affiliated with any hospitals?

According to CMS data, Nicole Lopez is affiliated with Northwest Texas Hospital and Bsa Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Lopez was last updated on April 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.