ALVARO J LOPEZ M.D.
NPI 1861440216
Specialist in Tucker, GA

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
1370 MONTREAL RD, #130, TUCKER, GA 30084(770) 939-1601 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alvaro J Lopez M.d. NPPES

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

ALVARO J LOPEZ M.D. (NPI 1861440216) is an individual specialist in Tucker, Georgia, licensed in Georgia (034184) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Wellstar Paulding Medical Center, and maintains a secondary practice location in Austell.

NPPES Registry Identity

NPI1861440216
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameALVARO J LOPEZCredential: M.D.
Location Address1370 MONTREAL RD, #130Tucker, GA 30084-8128
Mailing Address1700 Hospital South Dr Ste 402Austell, GA 30106-8116 · (770) 739-8282
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1986
Enumeration DateMay 5, 2006
Last NPPES UpdateOctober 1, 2020
NPPES CertifiedOctober 1, 2020
NPI 1861440216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in GA · 034184
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 34184 (GA)
1370 MONTREAL RD, Tucker, GA 30084

Secondary Practice Location 1

Location 11700 Hospital South Dr Ste 402Austell, GA 30106-8116 · Phone (770) 739-8282

Other Identifiers 1

Medicaid00476704AGA

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

Alvaro J 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 ID5496777591
PECOS Enrollment IDI20060103000392
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 7

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.

Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
461 services175 patients
Initial hospital inpatient care per day, typically 70 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.
117 services116 patients
Follow-up hospital inpatient care per day, typically 15 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
69 services51 patients
Follow-up hospital inpatient care per day, typically 35 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.
67 services38 patients
Initial hospital inpatient care per day, typically 50 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
50 services49 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
46 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Pediatrics
1370 MONTREAL RD, STE 180
TUCKER, GA 30084
Physical Therapist
1370 MONTREAL RD, STE 100
TUCKER, GA 30084
Clinic/Center (Physical Therapy)
1370 MONTREAL RD, SUITE 100
TUCKER, GA 30084
Physical Therapist
1370 MONTREAL RD, SUITE 100
TUCKER, GA 30084
Physical Therapist
1370 MONTREAL RD, SUITE 100
TUCKER, GA 30084
Clinic/Center (Primary Care)
1370 MONTREAL RD, SUITE 100
TUCKER, GA 30084
Obstetrics & Gynecology
1370 MONTREAL RD, SUITE 170
TUCKER, GA 30084

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 Alvaro Lopez's NPI number?

The NPI number for Alvaro Lopez is 1861440216. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Alvaro Lopez located?

Alvaro Lopez practices at 1370 Montreal Rd #130, Tucker, GA 30084. The listed phone number is (770) 939-1601.

What is Alvaro Lopez's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Alvaro Lopez enrolled in Medicare?

Yes. Alvaro 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 Alvaro Lopez accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Alvaro 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.

Is Alvaro Lopez affiliated with any hospitals?

According to CMS data, Alvaro Lopez is affiliated with Wellstar Paulding Medical Center and Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for Alvaro Lopez was last updated on October 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.