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DR. RACHAEL LYNNE LOPEZ MD
NPI 1639174899
Obstetrics & Gynecology in Laguna Hills, CA

Active since June 15, 2005PECOS EnrolledAccepts Medicare Assignment
76.74/100
CMS Quality Rating
24401 HEALTH CENTER DR., SUITE 300, LAGUNA HILLS, CA 92653(949) 770-4115(949) 770-3422 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 11, 2024, Oct 2, 2019 (2 updates tracked since 2019).

About Dr. Rachael Lynne Lopez Md NPPES

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

DR. RACHAEL LYNNE LOPEZ MD (NPI 1639174899) is an individual obstetrics & gynecology provider in Laguna Hills, California, licensed in California (A61814) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (1995).

NPPES Registry Identity

NPI1639174899
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. RACHAEL LYNNE LOPEZCredential: MD
Location Address24401 HEALTH CENTER DR., SUITE 300Laguna Hills, CA 92653-0000
Mailing Address24401 Health Center Dr., Suite 300Laguna Hills, CA 92653-0000 · (949) 770-4115 · Fax (949) 770-3422
Phone(949) 770-4115
Fax(949) 770-3422
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 1995
Enumeration DateJune 15, 2005
Last NPPES UpdateNovember 11, 20242 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
✔ NPI 1639174899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A61814
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
24401 HEALTH CENTER DR., Laguna Hills, CA 92653
Open in Google Maps ↗

Other Identifiers 1

Medicaid00A618140CA

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. Rachael Lynne 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 ID5294868162
PECOS Enrollment IDI20100728001103
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 Rachael Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Memorialcare Medical Foundation
16 mi
Clinic/Center
17360 BROOKHURST ST
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 948 clinicians in this Medicare group
NPI 1205167350 (877) 696-3622

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 2

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
35 services35 patients
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.
28 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92653 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

76.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.94
Promoting Interoperability78
Improvement Activities40
Cost55.12

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 Rachael Lopez's NPI number?

The NPI number for Rachael Lopez is 1639174899. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Rachael Lopez located?

Rachael Lopez practices at 24401 Health Center Dr. Suite 300, Laguna Hills, CA 92653. The listed phone number is (949) 770-4115.

What is Rachael Lopez's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Rachael Lopez enrolled in Medicare?

Yes. Rachael 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 organization bills Medicare for Rachael Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachael Lopez reassigns Medicare benefits to Memorialcare Medical Foundation (Fountain Valley, CA). 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 Rachael Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rachael Lopez was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.