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MICHELLE LOPEZ M.D.
NPI 1710333620
Internal Medicine in Mcallen, TX

Active since May 10, 2016PECOS EnrolledAccepts Medicare Assignment
81.44/100
CMS Quality Rating
205 E TORONTO AVE, MCALLEN, TX 78503(833) 887-4863(956) 296-6857 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2024, Oct 24, 2019, Aug 30, 2019 and 3 more (6 updates tracked since 2016).

About Michelle Lopez M.d. NPPES

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

MICHELLE LOPEZ M.D. (NPI 1710333620) is an individual internal medicine provider in Mcallen, Texas, licensed in Texas (S1168) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1710333620
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMICHELLE LOPEZCredential: M.D.
Location Address205 E TORONTO AVEMcallen, TX 78503-1209
Mailing AddressPo Box 531968Harlingen, TX 78553-1968 · (833) 887-4863
Phone(833) 887-4863
Fax(956) 296-6857
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 10, 2016
Last NPPES UpdateSeptember 23, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1710333620 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 · S1168
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.
205 E TORONTO AVE, Mcallen, TX 78503
Open in Google Maps ↗

Other Identifiers 2

Medicaid3996282-01TX
OtherH08LJ20301TX · Bcbs-tx

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Michelle Lopez M.d. 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 ID9638460082
PECOS Enrollment IDI20190723001223
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 Reassignments

3

Medicare enrollment records show Michelle Lopez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

MD Hospitalists PLLC
0.1 mi
Hospitalist
110 E SAVANNAH AVE, BLDG B SUITE 203
Mcallen, TX 78503
  • Reassigned Medicare billing, Texas enrollment
  • 40 clinicians in this Medicare group
NPI 1235672809 (956) 686-7611
Hni Medical Services
281 mi
Hospitalist
7500 RIALTO BLVD STE 1-140
Austin, TX 78735
  • Reassigned Medicare billing, Texas enrollment
  • 241 clinicians in this Medicare group
NPI 1366735169 (512) 730-3060
Hni Hospital Services Of Texas, Inc
292 mi
Internal Medicine
12042 BITTERN HOLW
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • 43 clinicians in this Medicare group
NPI 1053884080 (512) 730-3060

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
83 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
35 services17 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

South Texas Health System

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450119
Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Mission Regional Medical Center

Acute Care Hospitals · Mission, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450176
Location900 South Bryan RoadMission, TX 78572 · Hidalgo County
Birthing friendly

Rio Grande Regional Hospital

Acute Care Hospitals · Mcallen, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450711
Location101 E Ridge RdMcallen, TX 78503 · Hidalgo County
Emergency services Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78503 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.

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.

81.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.83
Promoting Interoperability98
Improvement Activities40
Cost49.23

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
1 supplier11 claims11 services$52.06 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
1 supplier11 claims11 services$4.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

DR. CYNTHIA CAVAZOS-GONZALEZ PH.D
Psychologist (Clinical)
205 E TORONTO AVE
MCALLEN, TX 78503
Hidalgo County (956) 687-6155
DIANE DUYEN T NGUYEN DO
Internal Medicine (Medical Oncology)
205 E TORONTO AVE
MCALLEN, TX 78503
Hidalgo County (956) 296-3990
ANDREW DELA GARZA M.D.
Family Medicine
205 E TORONTO AVE
MCALLEN, TX 78503
Hidalgo County (956) 687-6155
DR. BALDEMAR GONZALEZ ALANIS MD
Family Medicine
205 E TORONTO AVE
MCALLEN, TX 78503
Hidalgo County (956) 687-6155
RANI RAMSEY RABAH MD
Student in an Organized Health Care Education/Training Program
205 E TORONTO AVE
MCALLEN, TX 78503
Hidalgo County (956) 687-6155
RAFAEL BADILLO DAVILA
Student in an Organized Health Care Education/Training Program
205 E TORONTO AVE
MCALLEN, TX 78503
Hidalgo County (956) 479-9157
DR. DANIELA ESTHER ROJAS MD, MPH
Student in an Organized Health Care Education/Training Program
205 E TORONTO AVE
MCALLEN, TX 78503
Hidalgo County (956) 296-1121
DR. OSCAR CORTES MD
Family Medicine
205 E TORONTO AVE
MCALLEN, TX 78503
Hidalgo County (956) 687-6155

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 Michelle Lopez's NPI number?

The NPI number for Michelle Lopez is 1710333620. It was assigned to this individual provider in the NPPES registry on May 10, 2016.

Where is Michelle Lopez located?

Michelle Lopez practices at 205 E Toronto Ave, Mcallen, TX 78503. The listed phone number is (833) 887-4863.

What is Michelle Lopez's specialty?

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

Is Michelle Lopez enrolled in Medicare?

Yes. Michelle 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 organizations bill Medicare for Michelle Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Lopez reassigns Medicare benefits to 3 organizations: MD Hospitalists PLLC (Mcallen, TX), Hni Medical Services (Austin, TX) and Hni Hospital Services Of Texas, Inc (Austin, TX). Each 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 Michelle Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Lopez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Michelle 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 Michelle Lopez affiliated with any hospitals?

According to CMS data, Michelle Lopez is affiliated with South Texas Health System, Mission Regional Medical Center, Rio Grande Regional Hospital and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Michelle Lopez was last updated on September 23, 2024. 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.