LOPEZ DUANE DAVIS II
NPI 1609455989
Family Medicine in Charlotte, NC

Active since April 05, 2021PECOS EnrolledAccepts Medicare Assignment
13460 PLAZA ROAD EXT STE 100, CHARLOTTE, NC 28215(704) 316-4990(704) 316-4998 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2025, Mar 14, 2025, Feb 3, 2025 and 1 more (4 updates tracked since 2021).

About Lopez Duane Davis Ii NPPES

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

LOPEZ DUANE DAVIS II (NPI 1609455989) is an individual family medicine provider in Charlotte, North Carolina, licensed in North Carolina (2025-00183) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Malden, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1609455989
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLOPEZ DUANE DAVIS II
Location Address13460 PLAZA ROAD EXT STE 100Charlotte, NC 28215-8923
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Fax(704) 316-4998
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 5, 2021
Last NPPES UpdateMarch 19, 20254 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
NPI 1609455989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 2025-00183
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.
13460 PLAZA ROAD EXT STE 100, Charlotte, NC 28215

Secondary Practice Location 1

Location 1195 Canal StMalden, MA 02148-6701 · Phone (781) 338-0550 · Fax (781) 338-0150

Accepted 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

Lopez Duane Davis Ii 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 ID3971903030
PECOS Enrollment IDI20250310003536
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28215 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 14

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

Nurse Practitioner
13460 PLAZA ROAD EXT STE 100
CHARLOTTE, NC 28215
Family Medicine
13460 PLAZA ROAD EXT STE 100
CHARLOTTE, NC 28215
Internal Medicine
13460 PLAZA ROAD EXT STE 100
CHARLOTTE, NC 28215
Nurse Practitioner
13460 PLAZA ROAD EXT STE 100
CHARLOTTE, NC 28215
Family Medicine
13460 PLAZA ROAD EXT STE 100
CHARLOTTE, NC 28215
Family Medicine
13460 PLAZA ROAD EXT STE 100
CHARLOTTE, NC 28215
Physician Assistant
13460 PLAZA ROAD EXT STE 100
CHARLOTTE, NC 28215
Internal Medicine
13460 PLAZA ROAD EXT STE 100
CHARLOTTE, NC 28215

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 Lopez Davis's NPI number?

The NPI number for Lopez Davis is 1609455989. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Lopez Davis located?

Lopez Davis practices at 13460 Plaza Road Ext Ste 100, Charlotte, NC 28215. The listed phone number is (704) 316-4990.

What is Lopez Davis's specialty?

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

Is Lopez Davis enrolled in Medicare?

Yes. Lopez Davis 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 Lopez Davis accept?

Health plans from Blue Cross and Blue Shield of NC list Lopez Davis 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 Lopez Davis was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.