ETHAN LOPEZ DO
NPI 1649703513
Internal Medicine in Pleasanton, TX

Active since April 07, 2017PECOS EnrolledAccepts Medicare Assignment
1030 BENSDALE RD, PLEASANTON, TX 78064(830) 569-6615(830) 569-6714 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ethan Lopez Do NPPES

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

ETHAN LOPEZ DO (NPI 1649703513) is an individual internal medicine provider in Pleasanton, Texas, licensed in Texas (R9644) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Uvalde Memorial Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2017).

NPPES Registry Identity

NPI1649703513
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameETHAN LOPEZCredential: DO
Location Address1030 BENSDALE RDPleasanton, TX 78064-2037
Mailing Address1030 Bensdale RdPleasanton, TX 78064-2037 · (830) 569-6615 · Fax (830) 569-6714
Fax(830) 569-6714
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2017
Enumeration DateApril 7, 2017
Last NPPES UpdateJuly 22, 2020
NPPES CertifiedJuly 22, 2020
NPI 1649703513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · R9644
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1030 BENSDALE RD, Pleasanton, TX 78064

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

Ethan Lopez Do 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 ID8527481415
PECOS Enrollment IDI20200710001710
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 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.

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.
33 services32 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.
23 services20 patients

Hospital Affiliations CMS Care Compare

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

Uvalde Memorial Hospital

Critical Access Hospitals · Uvalde, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451387
Location1025 Garner Field RoadUvalde, TX 78801 · Uvalde County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78064 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 2

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

Nurse Practitioner (Family)
1030 BENSDALE RD
PLEASANTON, TX 78064
Physician Assistant
1030 BENSDALE RD
PLEASANTON, TX 78064

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 Ethan Lopez's NPI number?

The NPI number for Ethan Lopez is 1649703513. It was assigned to this individual provider in the NPPES registry on April 7, 2017.

Where is Ethan Lopez located?

Ethan Lopez practices at 1030 Bensdale Rd, Pleasanton, TX 78064. The listed phone number is (830) 569-6615.

What is Ethan Lopez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ethan Lopez enrolled in Medicare?

Yes. Ethan 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.

What insurance does Ethan Lopez accept?

Health plans from Blue Cross and Blue Shield of Texas list Ethan 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.

Is Ethan Lopez affiliated with any hospitals?

According to CMS data, Ethan Lopez is affiliated with Uvalde Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ethan Lopez was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.