GABRIEL LOPEZ MD
NPI 1679077796
Family Medicine in Raleigh, NC

Active since March 22, 2018PECOS EnrolledAccepts Medicare Assignment
88.68/100
CMS Quality Rating
2930 FORESTVILLE RD, RALEIGH, NC 27616(919) 235-6550(919) 235-6586 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2023, Aug 16, 2021, Jul 6, 2021 and 1 more (4 updates tracked since 2018).

About Gabriel Lopez Md NPPES

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

GABRIEL LOPEZ MD (NPI 1679077796) is an individual family medicine provider in Raleigh, North Carolina, licensed in North Carolina (2021-00969) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1679077796
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGABRIEL LOPEZCredential: MD
Location Address2930 FORESTVILLE RDRaleigh, NC 27616-8774
Mailing AddressPo Box 602195Charlotte, NC 28260-2195 · (919) 350-0351 · Fax (919) 350-7687
Fax(919) 235-6586
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 22, 2018
Last NPPES UpdateDecember 22, 20234 updates tracked since enumeration
NPPES CertifiedDecember 22, 2023
NPI 1679077796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 2021-00969
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.
2930 FORESTVILLE RD, Raleigh, NC 27616

Other Identifiers 1

Medicaid1679077796NC

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

Gabriel 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 ID3971853391
PECOS Enrollment IDI20210713000024
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 7

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 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.
41 services33 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.
40 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients
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.
20 services19 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340173
Location1900 Kildare Farm RoadCary, NC 27518 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27616 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

88.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.59
Promoting Interoperability96
Improvement Activities40
Cost84.03

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Family)
2930 FORESTVILLE RD
RALEIGH, NC 27616
Family Medicine
2930 FORESTVILLE RD
RALEIGH, NC 27616
Family Medicine
2930 FORESTVILLE RD
RALEIGH, NC 27616
Nurse Practitioner (Family)
2930 FORESTVILLE RD
RALEIGH, NC 27616
Emergency Medicine
2930 FORESTVILLE RD
RALEIGH, NC 27616
Internal Medicine
2930 FORESTVILLE RD
RALEIGH, NC 27616
Nurse Practitioner (Family)
2930 FORESTVILLE RD
RALEIGH, NC 27616
Dietitian, Registered
2930 FORESTVILLE RD
RALEIGH, NC 27616

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 Gabriel Lopez's NPI number?

The NPI number for Gabriel Lopez is 1679077796. It was assigned to this individual provider in the NPPES registry on March 22, 2018.

Where is Gabriel Lopez located?

Gabriel Lopez practices at 2930 Forestville Rd, Raleigh, NC 27616. The listed phone number is (919) 235-6550.

What is Gabriel Lopez's specialty?

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

Is Gabriel Lopez enrolled in Medicare?

Yes. Gabriel 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 Gabriel Lopez accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Gabriel 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 Gabriel Lopez affiliated with any hospitals?

According to CMS data, Gabriel Lopez is affiliated with Wakemed, Raleigh Campus and Wakemed, Cary Hospital.

When was this NPI record last updated?

The NPPES record for Gabriel Lopez was last updated on December 22, 2023. 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.