OSCAR FRANCISCO LOPEZ NUNEZ MD
NPI 1780181628
Pathology - Pediatric Pathology in Pittsburgh, PA
NPI Status: Active since April 08, 2018
Contact Information
4401 PENN AVE
PITTSBURGH, PA
ZIP 15224
Phone: (412) 692-6543
Fax: (412) 692-6550
- Individual
- Male
- Pathology
- Pediatric Pathology
- Accepts Insurance
- PECOS Enrolled
About OSCAR LOPEZ NUNEZ
This page provides the complete NPI Profile along with additional information for Oscar Lopez Nunez, a provider established in Pittsburgh, Pennsylvania with a medical specialization in Pathology, focusing in pediatric pathology . The healthcare provider is registered in the NPI registry with number 1780181628 assigned on April 2018. The practitioner's primary taxonomy code is 207ZP0213X with license number MT209117 (PA). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1780181628
- Provider Name
- OSCAR FRANCISCO LOPEZ NUNEZ MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4401 PENN AVE PITTSBURGH, PA 15224
- Location Phone
- (412) 692-6543
- Location Fax
- (412) 692-6550
- Mailing Address
- A711 SCAIFE HALL 3550 TERRACE STREET PITTSBURGH, PA 15261
- Mailing Phone
- (412) 802-6013
- Mailing Fax
- (412) 692-6550
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-08-2018
- Last Update Date
- 10-24-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pathology Pediatric Pathology
- Taxonomy Code
- 207ZP0213X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MT209117
- License State
- PA
- Taxonomy Description
- A pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 7500 $25 Generic Drugs - HMO
- Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Gold 2000 $15 Generic Drugs - HMO
- Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Low Premium Bronze 10600 $25 Generic Drugs - HMO
- Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Low Premium Silver 6200 $3 Generic Drugs - HMO
- Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
- Silver 6000 $20 Generic Drugs - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Oscar Lopez Nunez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 15224 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.34
- Minimum New Patient Price $54.64
- Maximum New Patient Price $166.87
- Average New Patient Copayment $31.58
- Minimum New Patient Copayment $13.66
- Maximum New Patient Copayment $41.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.82
- Minimum Established Patient Price $17.33
- Maximum Established Patient Price $135.84
- Average Established Patient Copayment $24.2
- Minimum Established Patient Copayment $4.33
- Maximum Established Patient Copayment $33.96
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1780181628, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PITTSBURGH, PA 15224
PITTSBURGH, PA 15224
PITTSBURGH, PA 15224
PITTSBURGH, PA 15224
PITTSBURGH, PA 15224
PITTSBURGH, PA 15224
PITTSBURGH, PA 15224
PITTSBURGH, PA 15224
PITTSBURGH, PA 15224
PITTSBURGH, PA 15224
PITTSBURGH, PA 15224
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780181628, enumerated as an "individual" on April 08, 2018.
The provider is located at 4401 PENN AVE PITTSBURGH, PA 15224 and the phone number is (412) 692-6543.
Pathology with taxonomy code 207ZP0213X and a focus in Pediatric Pathology.
The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.
