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DR. MARVIN A LOPEZ MEDAL M.D
NPI 1801158969
Internal Medicine in Loxahatchee, FL

Active since June 13, 2012PECOS EnrolledAccepts Medicare Assignment
13001 SOUTHERN BLVD, LOXAHATCHEE, FL 33470(877) 832-2652(800) 792-9021 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2022, Dec 27, 2021, Aug 17, 2016 (3 updates tracked since 2016).

About Dr. Marvin A Lopez Medal M.d NPPES

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

DR. MARVIN A LOPEZ MEDAL M.D (NPI 1801158969) is an individual internal medicine provider in Loxahatchee, Florida, licensed in Florida (ME123271) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Jfk Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1801158969
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARVIN A LOPEZ MEDALCredential: M.D
Location Address13001 SOUTHERN BLVDLoxahatchee, FL 33470-9203
Mailing AddressPo Box 61160Corpus Christi, TX 78466-1160 · (877) 832-2652 · Fax (800) 792-9021
Phone(877) 832-2652
Fax(800) 792-9021
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJune 13, 2012
Last NPPES UpdateSeptember 13, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2023
✔ NPI 1801158969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME123271
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.
13001 SOUTHERN BLVD, Loxahatchee, FL 33470
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Secondary Practice Locations 4

Location 18201 W Broward BlvdPlantation, FL 33324-2701 · Phone (877) 832-2652 · Fax (800) 792-9021
Location 27201 N University DrTamarac, FL 33321-2913 · Phone (877) 832-2652 · Fax (800) 792-9021
Location 33476 S University DrDavie, FL 33328-2000 · Phone (877) 832-2652 · Fax (800) 792-9021
Location 45301 S Congress AveAtlantis, FL 33462-1149 · Phone (877) 832-2652 · Fax (800) 792-9021

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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. Marvin A Lopez Medal 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 ID5193039923
PECOS Enrollment IDI20150806010915
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.

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.
540 services227 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
78 services73 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.
67 services27 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.
43 services41 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Jfk Hospital

Acute Care Hospitals · Atlantis, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100080
Location5301 S Congress AveAtlantis, FL 33462 · Palm Beach County
Emergency services

Westside Regional Medical Center

Acute Care Hospitals · Plantation, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100228
Location8201 W Broward BlvdPlantation, FL 33324 · Broward County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33470 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%183 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers15 claims15 services$16.39 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers14 claims14 services$82.47 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.

RITA ANN WEBER ARNP
Nurse Practitioner (Family)
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Palm Beach County (561) 798-3300
KIMEKA JOSEPH PA-C
Physician Assistant
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Palm Beach County (561) 798-3300
PAULA RAMSAY CRNA
Nurse Anesthetist, Certified Registered
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Palm Beach County (561) 798-6031
EMIL I. MICHAELS MD
Anesthesiology
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Palm Beach County (561) 798-6092
SHERIDAN RADIOLOGY SERVICES OF PINELLAS, INC.
Radiology (Diagnostic Radiology)
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Palm Beach County (561) 784-3238
BLESSEN MATHEW M.D.
Internal Medicine
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Palm Beach County (561) 798-3300
KRISTIN ARCHER
Nurse Practitioner (Family)
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Palm Beach County (561) 798-6080
MRS. KIMBERLY NORELLE DAWKINS RPA-C
Physician Assistant (Surgical)
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Palm Beach County (732) 882-3673

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 Marvin Lopez Medal's NPI number?

The NPI number for Marvin Lopez Medal is 1801158969. It was assigned to this individual provider in the NPPES registry on June 13, 2012.

Where is Marvin Lopez Medal located?

Marvin Lopez Medal practices at 13001 Southern Blvd, Loxahatchee, FL 33470. The listed phone number is (877) 832-2652.

What is Marvin Lopez Medal's specialty?

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

Is Marvin Lopez Medal enrolled in Medicare?

Yes. Marvin Lopez Medal 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 Marvin Lopez Medal accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Marvin Lopez Medal 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 Marvin Lopez Medal affiliated with any hospitals?

According to CMS data, Marvin Lopez Medal is affiliated with Hca Florida Jfk Hospital and Westside Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Marvin Lopez Medal was last updated on September 13, 2023. 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.