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EUSTORGIO A. LOPEZ M.D., D.D.S.
NPI 1730145061
Oral & Maxillofacial Surgery in Davie, FL

Active since April 25, 2006PECOS Enrolled
81.31/100
CMS Quality Rating
3200 S UNIVERSITY DR, DAVIE, FL 33328(954) 262-7153(954) 262-1793 Get Directions Write a Review

NPPES record last updated: July 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 9, 2023, Sep 20, 2022 (2 updates tracked since 2022).

About Eustorgio A. Lopez M.d., D.d.s. NPPES

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

EUSTORGIO A. LOPEZ M.D., D.D.S. (NPI 1730145061) is an individual oral & maxillofacial surgery provider in Davie, Florida, licensed in Florida (ME74506) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730145061
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameEUSTORGIO A. LOPEZCredential: M.D., D.D.S.
Location Address3200 S UNIVERSITY DRDavie, FL 33328-2018
Mailing Address3200 S University DrDavie, FL 33328-2018 · (954) 262-7153 · Fax (954) 262-1793
Phone(954) 262-7153
Fax(954) 262-1793
Sole ProprietorNo
Enumeration DateApril 25, 2006
Last NPPES UpdateJuly 9, 20232 updates tracked since enumeration
NPPES CertifiedJuly 9, 2023
✔ NPI 1730145061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in FL · ME74506
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License DN 13112 (FL)
3200 S UNIVERSITY DR, Davie, FL 33328
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Other Identifiers 2

Medicaid015641700FL
Medicaid2686961-00FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Humana 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 (PECOS)

Eustorgio A. Lopez M.d., D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Eustorgio Lopez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nova Southeastern University Inc.
Same address
Clinical Medical Laboratory
3200 S UNIVERSITY DRIVE, SANFORD L. ZIFF BLDG.
Ft. Lauderdale, FL 33328
  • Reassigned Medicare billing, Florida enrollment
  • 264 clinicians in this Medicare group
NPI 1770533390 (954) 262-7382
University Of Miami
20 mi
Pulmonary Disease
1611 NW 12TH AVE, BOX 016960 M851
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
NPI 1003866617 (305) 243-7688

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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. NADINE M GIRGIS - HANNA O.D.
Optometrist
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-1728
MOBILEDERM, INC.
Dermatology
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 970-5824
ROJIN FATIRKHORANI DO
Student in an Organized Health Care Education/Training Program
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-1300
DR. MICHAEL NICOLAE GEORGESCU D.M.D.
Dentist (General Practice)
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-1835
JOEL MELVIN HAUPTMAN DDS
Dentist (Prosthodontics)
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-1909
DR. ANTONIO GODOY DDS., MS.
Dentist (Prosthodontics)
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-1908
SHIVA KHATAMI D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-7500
MS. KAREN S. BASEDOW RD
Dietitian, Registered
3200 S UNIVERSITY DR
DAVIE, FL 33328
Broward County (954) 262-4100

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 Eustorgio Lopez's NPI number?

The NPI number for Eustorgio Lopez is 1730145061. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Eustorgio Lopez located?

Eustorgio Lopez practices at 3200 S University Dr, Davie, FL 33328. The listed phone number is (954) 262-7153.

What is Eustorgio Lopez's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Eustorgio Lopez enrolled in Medicare?

Yes. Eustorgio Lopez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Eustorgio Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eustorgio Lopez reassigns Medicare benefits to 2 organizations: Nova Southeastern University Inc. (Ft. Lauderdale, FL) and University Of Miami (Miami, FL). 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 Eustorgio Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eustorgio Lopez accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Humana and Molina Healthcare list Eustorgio 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.

When was this NPI record last updated?

The NPPES record for Eustorgio Lopez was last updated on July 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.