MRS. MARIAH NICOLE LOPEZ PA-C
NPI 1639648322
Physician Assistant in Miamisburg, OH

Active since November 26, 2018PECOS EnrolledAccepts Medicare Assignment
4000 MIAMISBURG CENTERVILLE RD STE 230, MIAMISBURG, OH 45342(937) 433-5309 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 16, 2022, May 2, 2022, Nov 26, 2018 (3 updates tracked since 2018).

About Mrs. Mariah Nicole Lopez Pa-c NPPES

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

MRS. MARIAH NICOLE LOPEZ PA-C (NPI 1639648322) is an individual physician assistant in Miamisburg, Ohio, licensed in Ohio (50.005750RX) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Dayton, and is a graduate of Nova Southeastern College Of Osteo Medicine (2018).

NPPES Registry Identity

NPI1639648322
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MARIAH NICOLE LOPEZCredential: PA-C
Location Address4000 MIAMISBURG CENTERVILLE RD STE 230Miamisburg, OH 45342-7615
Mailing Address2939 Sunny DrBeavercreek, OH 45434-6333 · (937) 321-4494
Sole ProprietorYes
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2018
Enumeration DateNovember 26, 2018
Last NPPES UpdateAugust 16, 20223 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
NPI 1639648322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OH · 50.005750RX
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4000 MIAMISBURG CENTERVILLE RD STE 230, Miamisburg, OH 45342

Other Names 1

Former Name (1)Miss Mariah Nicole Isaacs Pa-c

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

Mrs. Mariah Nicole Lopez Pa-c 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 ID2264770189
PECOS Enrollment IDI20220509001965
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
402 services73 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
60 services54 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.
53 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
51 services39 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
23 services14 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
15 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45342 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Orthopaedic Surgery
4000 MIAMISBURG CENTERVILLE RD STE 230
MIAMISBURG, OH 45342
Orthopaedic Surgery
4000 MIAMISBURG CENTERVILLE RD STE 230
MIAMISBURG, OH 45342
Orthopaedic Surgery
4000 MIAMISBURG CENTERVILLE RD STE 230
MIAMISBURG, OH 45342

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639648322, enumerated as an "individual" on November 26, 2018.

The provider is located at 4000 MIAMISBURG CENTERVILLE RD STE 230 MIAMISBURG, OH 45342 and the phone number is (937) 433-5309.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: CareSource, MedMutual, Molina Healthcare, Oscar. Please consult your insurance carrier or call the provider to verify.

Mariah Lopez is affiliated with: KETTERING HEALTH DAYTON and KETTERING HEALTH MIAMISBURG.