DR. MELVIN A LOPEZ MD
NPI 1831419258
Family Medicine in Pismo Beach, CA

Active since June 08, 2010PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
901 OAK PARK BLVD STE 101, PISMO BEACH, CA 93449(805) 481-2205(805) 481-2206 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2023, Dec 27, 2022, Nov 7, 2022 and 2 more (5 updates tracked since 2015).

About Dr. Melvin A Lopez Md NPPES

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

DR. MELVIN A LOPEZ MD (NPI 1831419258) is an individual family medicine provider in Pismo Beach, California, licensed in California (A118690) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1831419258
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MELVIN A LOPEZCredential: MD
Location Address901 OAK PARK BLVD STE 101Pismo Beach, CA 93449-3409
Mailing Address901 Oak Park Blvd Ste 101Pismo Beach, CA 93449-3409 · (805) 481-2205 · Fax (805) 481-2206
Fax(805) 481-2206
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 8, 2010
Last NPPES UpdateNovember 2, 20235 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
NPI 1831419258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A118690
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
901 OAK PARK BLVD STE 101, Pismo Beach, CA 93449

Secondary Practice Locations 3

Location 12271 S Depot StSanta Maria, CA 93455-1216 · Phone (805) 922-0561 · Fax (805) 922-0083
Location 21745 N Broadway Ste 101Santa Maria, CA 93454-1940 · Phone (805) 739-3890 · Fax (805) 347-7697
Location 31102 E Clark Ave Ste 120ASanta Maria, CA 93455-5175 · Phone (805) 332-8185 · Fax (805) 332-8186

Other Identifiers 1

OtherCB206047CA · Medicare Id

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. Melvin A Lopez 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 ID1759518517
PECOS Enrollment IDI20131226001009
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 17

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.

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.
1,050 services472 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.
381 services381 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
350 services350 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
343 services343 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
305 services208 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
173 services107 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93449 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
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers146 claims356 services$5.63 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers21 claims21 services$2.66 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers75 claims110 services$1.03 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers16 claims16 services$31.83 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers11 claims11 services$87.27 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers13 claims78 services$2.43 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 4

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

Nurse Practitioner (Family)
901 OAK PARK BLVD STE 101
PISMO BEACH, CA 93449
Clinic/Center (Community Health)
901 OAK PARK BLVD STE 101
PISMO BEACH, CA 93449
Family Medicine
901 OAK PARK BLVD STE 101
PISMO BEACH, CA 93449
Nurse Practitioner (Family)
901 OAK PARK BLVD STE 101
PISMO BEACH, CA 93449

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 Melvin Lopez's NPI number?

The NPI number for Melvin Lopez is 1831419258. It was assigned to this individual provider in the NPPES registry on June 8, 2010.

Where is Melvin Lopez located?

Melvin Lopez practices at 901 Oak Park Blvd Ste 101, Pismo Beach, CA 93449. The listed phone number is (805) 481-2205.

What is Melvin Lopez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Melvin Lopez enrolled in Medicare?

Yes. Melvin 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.

When was this NPI record last updated?

The NPPES record for Melvin Lopez was last updated on November 2, 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.