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ORLANDO ALFREDO LOPEZ-ROMAN MD
NPI 1881803088
Internal Medicine - Gastroenterology in Key West, FL

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
87.47/100
CMS Quality Rating
1111 12TH ST STE 210, KEY WEST, FL 33040(305) 294-3458(305) 294-8432 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 3, 2025, Sep 15, 2020 (2 updates tracked since 2020).

About Orlando Alfredo Lopez-roman Md NPPES

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

ORLANDO ALFREDO LOPEZ-ROMAN MD (NPI 1881803088) is an individual gastroenterology provider in Key West, Florida, licensed in Florida (ME142355) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Lower Keys Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1881803088
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameORLANDO ALFREDO LOPEZ-ROMANCredential: MD
Location Address1111 12TH ST STE 210Key West, FL 33040-3001
Mailing Address1010 Three Springs Blvd, Suite 255Durango, CO 81301-8296 · (970) 764-3800 · Fax (970) 764-3643
Phone(305) 294-3458
Fax(305) 294-8432
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 3, 20252 updates tracked since enumeration
NPPES CertifiedJuly 3, 2025
✔ NPI 1881803088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in FL · ME142355✔ Licensed in CO · DR.0053090✔ Licensed in TX · N8948
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1111 12TH ST STE 210, Key West, FL 33040
Open in Google Maps ↗

Other Identifiers 2

Medicaid286998401TX
OtherBP1-0017766Institutional Permit

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Orlando Alfredo Lopez-roman 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 ID3678663002
PECOS Enrollment IDI20200113000506
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.

Medicare Billing Reassignment

Medicare enrollment records show Orlando Lopez-roman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Key West Hma Physician Management, LLC
20 mi
Internal Medicine
22974 OVERSEAS HWY
Cudjoe Key, FL 33042
  • Reassigned Medicare billing, Florida enrollment
  • 71 clinicians in this Medicare group
NPI 1871548651 (305) 872-5600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
159 services156 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
131 services126 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
81 services81 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 patients
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.
48 services41 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 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.
27 services26 patients

Hospital Affiliations CMS Care Compare

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

Lower Keys Medical Center

Acute Care Hospitals · Key West, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100150
Location5900 College RoadKey West, FL 33040 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33040 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

87.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

KEY WEST HMA PHYSICIAN MANAGEMENT LLC
Internal Medicine (Cardiovascular Disease)
1111 12TH ST STE 210
KEY WEST, FL 33040
Monroe County (305) 292-5823
APRIL L GALLAGHER AGACNP
Nurse Practitioner (Acute Care)
1111 12TH ST STE 210
KEY WEST, FL 33040
Monroe County (305) 294-5727
DR. BRIEN WINDUS TONKINSON MD
Otolaryngology
1111 12TH ST STE 210
KEY WEST, FL 33040
Monroe County (305) 294-1706

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 Orlando Lopez-roman's NPI number?

The NPI number for Orlando Lopez-roman is 1881803088. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Orlando Lopez-roman located?

Orlando Lopez-roman practices at 1111 12th St Ste 210, Key West, FL 33040. The listed phone number is (305) 294-3458.

What is Orlando Lopez-roman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Orlando Lopez-roman enrolled in Medicare?

Yes. Orlando Lopez-roman 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.

Which organization bills Medicare for Orlando Lopez-roman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Orlando Lopez-roman reassigns Medicare benefits to Key West Hma Physician Management, LLC (Cudjoe Key, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Orlando Lopez-roman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Orlando Lopez-roman accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Orlando Lopez-roman 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 Orlando Lopez-roman affiliated with any hospitals?

According to CMS data, Orlando Lopez-roman is affiliated with Lower Keys Medical Center.

When was this NPI record last updated?

The NPPES record for Orlando Lopez-roman was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.