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DR. JOSEPH JAMES LOPEZ M.D.
NPI 1578908992
Surgery in Muncie, IN

Active since April 30, 2013PECOS EnrolledAccepts Medicare Assignment
2525 W UNIVERSITY AVE STE 403, MUNCIE, IN 47303(765) 289-6381 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 12, 2022, Apr 20, 2017 (2 updates tracked since 2017).

About Dr. Joseph James Lopez M.d. NPPES

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

DR. JOSEPH JAMES LOPEZ M.D. (NPI 1578908992) is an individual surgery provider in Muncie, Indiana, licensed in Indiana (01087775A) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Ball Memorial Hospital, and maintains a secondary practice location in Valhalla.

NPPES Registry Identity

NPI1578908992
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOSEPH JAMES LOPEZCredential: M.D.
Location Address2525 W UNIVERSITY AVE STE 403Muncie, IN 47303-3409
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(765) 289-6381
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2013
Enumeration DateApril 30, 2013
Last NPPES UpdateJuly 12, 20222 updates tracked since enumeration
NPPES CertifiedJuly 12, 2022
✔ NPI 1578908992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in IN · 01087775A✔ Licensed in OH · 126957
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 ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 01087775A (IN)
2525 W UNIVERSITY AVE STE 403, Muncie, IN 47303
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Secondary Practice Location 1

Location 1100 Woods Rd, Munger Pavilion, Suite 224Valhalla, NY 10595-1530 · Phone (914) 594-3241 · Fax (914) 594-4359

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

Dr. Joseph James Lopez M.d. 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 ID8123308210
PECOS Enrollment IDI20220714003126
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 Joseph Lopez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Care Connections, Inc.
0.1 mi
Diagnostic Radiology
2401 W UNIVERSITY AVE
Muncie, IN 47303
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Indiana University Health Ball Memorial Physicians Inc
  • 635 clinicians in this Medicare group
NPI 1013191493 (765) 747-3111
Iu Health Medical Group, LLC
49 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
123 services61 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
66 services65 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47303 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 3

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

AMY J DOCKREY FNP-C
Nurse Practitioner (Family)
2525 W UNIVERSITY AVE STE 403
MUNCIE, IN 47303
Delaware County (765) 289-6381
NANCY ELIZABETH VANDERBILT FNP-C
Nurse Practitioner (Family)
2525 W UNIVERSITY AVE STE 403
MUNCIE, IN 47303
Delaware County (765) 289-6381
BENJAMIN SIMPSON MD
Surgery
2525 W UNIVERSITY AVE STE 403
MUNCIE, IN 47303
Delaware County (765) 289-6381

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 Joseph Lopez's NPI number?

The NPI number for Joseph Lopez is 1578908992. It was assigned to this individual provider in the NPPES registry on April 30, 2013.

Where is Joseph Lopez located?

Joseph Lopez practices at 2525 W University Ave Ste 403, Muncie, IN 47303. The listed phone number is (765) 289-6381.

What is Joseph Lopez's specialty?

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

Is Joseph Lopez enrolled in Medicare?

Yes. Joseph 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 organizations bill Medicare for Joseph Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Lopez reassigns Medicare benefits to 2 organizations: Health Care Connections, Inc. (Muncie, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). 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 Joseph Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Lopez accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Joseph 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 Joseph Lopez affiliated with any hospitals?

According to CMS data, Joseph Lopez is affiliated with Indiana University Health Ball Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Lopez was last updated on July 12, 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.