DR. RICARDO LUIS LOPEZ-VALLE MD
NPI 1740737048
Internal Medicine - Gastroenterology in Venice, FL

Active since September 02, 2016PECOS EnrolledAccepts Medicare Assignment
825 VENETIAN PKWY, VENICE, FL 34285(941) 483-5730(941) 483-5740 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2024, Dec 6, 2022, Mar 19, 2018 and 1 more (4 updates tracked since 2016).

About Dr. Ricardo Luis Lopez-valle Md NPPES

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

DR. RICARDO LUIS LOPEZ-VALLE MD (NPI 1740737048) is an individual gastroenterology provider in Venice, Florida, licensed in Florida (ME168476) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and is a graduate of University Of Puerto Rico School Of Medicine (2018).

NPPES Registry Identity

NPI1740737048
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. RICARDO LUIS LOPEZ-VALLECredential: MD
Location Address825 VENETIAN PKWYVenice, FL 34285-7163
Mailing Address825 Venetian PkwyVenice, FL 34285-7163 · (941) 483-5730 · Fax (941) 483-5740
Fax(941) 483-5740
Sole ProprietorYes
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2018
Enumeration DateSeptember 2, 2016
Last NPPES UpdateMay 17, 20244 updates tracked since enumeration
NPPES CertifiedMay 1, 2024
NPI 1740737048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in FL · ME168476
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
825 VENETIAN PKWY, Venice, FL 34285

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

Dr. Ricardo Luis Lopez-valle 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 ID7113369547
PECOS Enrollment IDI20240530001413
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 10

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.

Injection, vedolizumab, intravenous, 1 mg J3380
Vedolizumab is a medication given via injection. It's used to treat certain bowel conditions (such as Crohn's disease, ulcerative colitis) by reducing inflammation. It works by blocking a certain protein that causes this inflammation.
4,500 services14 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.
150 services125 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.
136 services136 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.
71 services67 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
52 services52 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
46 services46 patients

Hospital Affiliations CMS Care Compare 3

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

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Hca Florida Sarasota Doctors Hospital

Acute Care Hospitals · Sarasota, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100166
Location5731 Bee Ridge RdSarasota, FL 34233 · Sarasota County
Emergency services

Sarasota Memorial Hospital - Venice

Acute Care Hospitals · North Venice, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100359
Location2600 Laurel Rd ENorth Venice, FL 34275 · Sarasota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34285 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 7

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

Internal Medicine (Gastroenterology)
825 VENETIAN PKWY
VENICE, FL 34285
Specialist
825 VENETIAN PKWY
VENICE, FL 34285
Nurse Practitioner (Family)
825 VENETIAN PKWY
VENICE, FL 34285
Internal Medicine (Gastroenterology)
825 VENETIAN PKWY
VENICE, FL 34285
Internal Medicine (Gastroenterology)
825 VENETIAN PKWY
VENICE, FL 34285
Nurse Practitioner (Family)
825 VENETIAN PKWY
VENICE, FL 34285
Internal Medicine (Gastroenterology)
825 VENETIAN PKWY
VENICE, FL 34285

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 Ricardo Lopez-valle's NPI number?

The NPI number for Ricardo Lopez-valle is 1740737048. It was assigned to this individual provider in the NPPES registry on September 2, 2016.

Where is Ricardo Lopez-valle located?

Ricardo Lopez-valle practices at 825 Venetian Pkwy, Venice, FL 34285. The listed phone number is (941) 483-5730.

What is Ricardo Lopez-valle's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ricardo Lopez-valle enrolled in Medicare?

Yes. Ricardo Lopez-valle 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 Ricardo Lopez-valle accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Ricardo Lopez-valle 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 Ricardo Lopez-valle affiliated with any hospitals?

According to CMS data, Ricardo Lopez-valle is affiliated with Sarasota Memorial Hospital, Hca Florida Sarasota Doctors Hospital and Sarasota Memorial Hospital - Venice.

When was this NPI record last updated?

The NPPES record for Ricardo Lopez-valle was last updated on May 17, 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.