DR. JOSEPH I LOPEZ MD
NPI 1609947878
Neuromusculoskeletal Medicine, Sports Medicine in Glen Cove, NY

Q: What is Joseph Lopez's NPI number?

The NPI number for Joseph Lopez is 1609947878. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Q: What is Joseph Lopez's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Lopez was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 10, 2006PECOS Enrolled

86 FOREST AVE STE 1-C, GLEN COVE, NY 11542(516) 671-4110(517) 759-4069 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Joseph I Lopez Md NPPES

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

DR. JOSEPH I LOPEZ MD (NPI 1609947878) is an individual neuromusculoskeletal medicine, sports medicine provider in Glen Cove, New York, licensed in New York (146448) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Georgetown University School Of Medicine (1980).

NPPES Registry Identity

NPI1609947878

Entity TypeIndividualMale

Primary Taxonomy204C00000X

Provider Legal NameDR. JOSEPH I LOPEZCredential: MD

Location Address86 FOREST AVE STE 1-CGlen Cove, NY 11542-2194

Mailing Address86 Forest Ave Ste 1-cGlen Cove, NY 11542-2194 · (516) 671-4110 · Fax (517) 759-4069

Phone(516) 671-4110

Fax(517) 759-4069

Sole ProprietorYes

Medical School CMSGeorgetown University School Of MedicineGraduated 1980

Enumeration DateNovember 10, 2006

Last NPPES UpdateFebruary 28, 2024

NPPES CertifiedFebruary 28, 2024

✔ NPI 1609947878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code204C00000X

License✔ Licensed in NY · 146448

Definition

A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/

86 FOREST AVE STE 1-C, Glen Cove, NY 11542

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joseph I Lopez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163682154

PECOS Enrollment IDI20120329000084

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 Reassignment

Medicare enrollment records show Joseph Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Joseph I. Lopez, M.D., P.C.

0.1 mi

Orthopaedic Surgery

10 MEDICAL PLZ, SUITE 103
Glen Cove, NY 11542

Reassigned Medicare billing, New York enrollment

NPI 1124392857 (516) 671-4110

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 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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

131 services77 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

56 services56 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

43 services28 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

23 services17 patients

Hyaluronan or derivative, monovisc, for intra-articular injection, per dose J7327

Monovisc is a treatment involving an injection of hyaluronan or its derivative into a joint, often the knee. This substance, found naturally in joint fluid, helps lubricate and cushion the joint. The injection can help ease pain, improve mobility, and reduce inflammation caused by arthritis.

18 services12 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330106

Location300 Community DriveManhasset, NY 11030 · Nassau County

Emergency services Birthing friendly

Northwell Hospital Glen Cove

Acute Care Hospitals · Glen Cove, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330181

Location101 St Andrews LaneGlen Cove, NY 11542 · Nassau County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11542 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

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 1609947878. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Where is Joseph Lopez located?

Joseph Lopez practices at 86 Forest Ave Ste 1-C, Glen Cove, NY 11542. The listed phone number is (516) 671-4110.

What is Joseph Lopez's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

Is Joseph Lopez enrolled in Medicare?

Yes. Joseph Lopez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joseph Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Lopez reassigns Medicare benefits to Joseph I. Lopez, M.D., P.C. (Glen Cove, NY). The 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.

Is Joseph Lopez affiliated with any hospitals?

According to CMS data, Joseph Lopez is affiliated with North Shore University Hospital and Northwell Hospital Glen Cove.

When was this NPI record last updated?

The NPPES record for Joseph Lopez was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.