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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SIMON JAMES LOPEZ MD
NPI 1629560065
Family Medicine in Austin, TX

Active since June 01, 2018PECOS Enrolled
1221 W BEN WHITE BLVD STE B100B200, AUSTIN, TX 78704(877) 800-5722 Get Directions Write a Review

NPPES record last updated: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 4, 2026, Oct 13, 2022, Sep 22, 2021 (3 updates tracked since 2021).

About Simon James Lopez Md NPPES

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

SIMON JAMES LOPEZ MD (NPI 1629560065) is an individual family medicine provider in Austin, Texas, licensed in Texas (W9437) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1629560065
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSIMON JAMES LOPEZCredential: MD
Location Address1221 W BEN WHITE BLVD STE B100B200Austin, TX 78704-7192
Mailing Address2423 Williams Dr Ste 107Georgetown, TX 78628-3269 · (877) 800-5722
Phone(877) 800-5722
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 1, 2018
Last NPPES UpdateNovember 4, 20263 updates tracked since enumeration
NPPES CertifiedNovember 4, 2026
✔ NPI 1629560065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · W9437✔ Licensed in FL · ME146253
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.
1221 W BEN WHITE BLVD STE B100B200, Austin, TX 78704
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Capital Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simon James Lopez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123354990
PECOS Enrollment IDI20210708002658
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 Simon Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Capital Health Plan, Inc,
808 mi
Health Maintenance Organization
2140 CENTERVILLE PL
Tallahassee, FL 32308
  • Reassigned Medicare billing, Florida enrollment
  • 71 clinicians in this Medicare group
NPI 1770688566 (850) 383-3333

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78704 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

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 Simon Lopez's NPI number?

The NPI number for Simon Lopez is 1629560065. It was assigned to this individual provider in the NPPES registry on June 1, 2018.

Where is Simon Lopez located?

Simon Lopez practices at 1221 W Ben White Blvd Ste B100b200, Austin, TX 78704. The listed phone number is (877) 800-5722.

What is Simon Lopez's specialty?

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

Is Simon Lopez enrolled in Medicare?

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

Which organization bills Medicare for Simon Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simon Lopez reassigns Medicare benefits to Capital Health Plan, Inc, (Tallahassee, FL). 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 Simon Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Simon Lopez accept?

Health plans from Capital Health Plan list Simon 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.

When was this NPI record last updated?

The NPPES record for Simon Lopez was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.