RAUL LOPEZ M.D.
NPI 1760438832
Emergency Medicine in Ormond Beach, FL

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
94.92/100
CMS Quality Rating
875 STERTHAUS AVE, ORMOND BEACH, FL 32174(386) 676-6000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Raul Lopez M.d. NPPES

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

RAUL LOPEZ M.D. (NPI 1760438832) is an individual emergency medicine provider in Ormond Beach, Florida, licensed in Florida (ME50400) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Wayne Memorial Hospital, and is a graduate of Howard University College Of Medicine (1984).

NPPES Registry Identity

NPI1760438832
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameRAUL LOPEZCredential: M.D.
Location Address875 STERTHAUS AVEOrmond Beach, FL 32174-5131
Mailing Address721 Boston AveSouth Daytona, FL 32119-1807
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1984
Enumeration DateMay 26, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1760438832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in FL · ME50400
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
875 STERTHAUS AVE, Ormond Beach, FL 32174

Other Identifiers 1

Medicare UPING12844

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

Raul 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 ID9931197183
PECOS Enrollment IDI20161019002090
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
195 services174 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
84 services79 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
36 services33 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
31 services30 patients

Hospital Affiliations CMS Care Compare

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

Wayne Memorial Hospital

Acute Care Hospitals · Jesup, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110124
Location865 South First StreetJesup, GA 31545 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32174 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
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.

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.

94.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.43
Improvement Activities40

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.

Specialist
875 STERTHAUS AVE
ORMOND BEACH, FL 32174
Internal Medicine
875 STERTHAUS AVE
ORMOND BEACH, FL 32174
Registered Nurse (Medical-Surgical)
875 STERTHAUS AVE
ORMOND BEACH, FL 32174
Family Medicine
875 STERTHAUS AVE
ORMOND BEACH, FL 32174
Emergency Medicine
875 STERTHAUS AVE
ORMOND BEACH, FL 32174
Family Medicine
875 STERTHAUS AVE
ORMOND BEACH, FL 32174
Specialist
875 STERTHAUS AVE
ORMOND BEACH, FL 32174
Emergency Medicine
875 STERTHAUS AVE
ORMOND BEACH, FL 32174

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 Raul Lopez's NPI number?

The NPI number for Raul Lopez is 1760438832. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Raul Lopez located?

Raul Lopez practices at 875 Sterthaus Ave, Ormond Beach, FL 32174. The listed phone number is (386) 676-6000.

What is Raul Lopez's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Raul Lopez enrolled in Medicare?

Yes. Raul 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.

Is Raul Lopez affiliated with any hospitals?

According to CMS data, Raul Lopez is affiliated with Wayne Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Raul Lopez was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.