RUBY ANN LOPEZ
NPI 1811481872
Nurse Practitioner - Family in San Antonio, TX

Active since June 21, 2018PECOS EnrolledAccepts Medicare Assignment
13.69/100
CMS Quality Rating
16620 N US HIGHWAY 281 STE 300, SAN ANTONIO, TX 78232(210) 309-1405(210) 688-4596 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 16, 2019, Jun 21, 2018 (2 updates tracked since 2018).

About Ruby Ann Lopez NPPES

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

RUBY ANN LOPEZ (NPI 1811481872) is an individual family provider in San Antonio, Texas, licensed in Texas (AP137806) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1811481872
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRUBY ANN LOPEZ
Location Address16620 N US HIGHWAY 281 STE 300San Antonio, TX 78232-2679
Mailing Address3500 S Presa StSan Antonio, TX 78210-4828 · (210) 325-2354
Fax(210) 688-4596
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 21, 2018
Last NPPES UpdateMay 16, 20192 updates tracked since enumeration
NPI 1811481872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP137806
16620 N US HIGHWAY 281 STE 300, San Antonio, TX 78232

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

Ruby Ann Lopez 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 ID1850645623
PECOS Enrollment IDI20181114000524
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 6

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
2,481 services239 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
288 services204 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
139 services24 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
54 services51 patients
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.
45 services26 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
35 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78232 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

13.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost45.63

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
5 suppliers40 claims40 services$41.93 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$14.89 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
2 suppliers14 claims14 services$63.91 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
4 suppliers47 claims48 services$15.49 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.

Nurse Practitioner (Acute Care)
16620 N US HIGHWAY 281 STE 300
SAN ANTONIO, TX 78232
Hospitalist
16620 N US HIGHWAY 281 STE 300
SAN ANTONIO, TX 78232
Nurse Practitioner (Family)
16620 N US HIGHWAY 281 STE 300
SAN ANTONIO, TX 78232
Internal Medicine (Geriatric Medicine)
16620 N US HIGHWAY 281 STE 300
SAN ANTONIO, TX 78232
Nurse Practitioner (Acute Care)
16620 N US HIGHWAY 281 STE 300
SAN ANTONIO, TX 78232
Internal Medicine
16620 N US HIGHWAY 281 STE 300
SAN ANTONIO, TX 78232
Internal Medicine (Nephrology)
16620 N US HIGHWAY 281 STE 300
SAN ANTONIO, TX 78232
Nurse Practitioner (Acute Care)
16620 N US HIGHWAY 281 STE 300
SAN ANTONIO, TX 78232

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 Ruby Lopez's NPI number?

The NPI number for Ruby Lopez is 1811481872. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Where is Ruby Lopez located?

Ruby Lopez practices at 16620 N Us Highway 281 Ste 300, San Antonio, TX 78232. The listed phone number is (210) 309-1405.

What is Ruby Lopez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ruby Lopez enrolled in Medicare?

Yes. Ruby 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.

What insurance does Ruby Lopez accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Molina Healthcare list Ruby 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 Ruby Lopez was last updated on May 16, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.