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MANUEL D LOPEZ MD
NPI 1942265533
Internal Medicine - Nephrology in El Paso, TX

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
10201 GATEWAY BLVD W, #210, EL PASO, TX 79925(915) 591-2922(915) 591-0495 Get Directions Write a Review

NPPES record last updated: January 28, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Manuel D Lopez Md NPPES

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

MANUEL D LOPEZ MD (NPI 1942265533) is an individual nephrology provider in El Paso, Texas, licensed in Texas (J8303) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Las Palmas Medical Center A Campus Of Lpds Healthc, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1942265533
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMANUEL D LOPEZCredential: MD
Location Address10201 GATEWAY BLVD W, #210El Paso, TX 79925-7652
Mailing Address10201 Gateway Blvd W, #210El Paso, TX 79925-7652 · (915) 591-2922 · Fax (915) 591-0495
Phone(915) 591-2922
Fax(915) 591-0495
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateApril 18, 2006
Last NPPES UpdateJanuary 28, 2009
✔ NPI 1942265533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TX · J8303
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
10201 GATEWAY BLVD W, El Paso, TX 79925
Open in Google Maps ↗

Other Identifiers 5

Medicaid031421302TX
Medicare PIN0092AATX
Medicare UPING29451TX
Medicaid0314213-01TX
Medicare PIN8F7700TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Manuel D 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 ID6800708678
PECOS Enrollment IDI20080319000445
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 hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 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.
191 services58 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
86 services34 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 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.
56 services40 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.
47 services41 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
42 services19 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
41 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Las Palmas Medical Center A Campus Of Lpds Healthc

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450107
Location1801 North Oregon StreetEl Paso, TX 79902 · El Paso County
Emergency services Birthing friendly

Sierra Medical Center

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450668
Location1625 Medical Center DrEl Paso, TX 79902 · El Paso County
Emergency services

The Hospitals Of Providence - East Campus

Acute Care Hospitals · El Paso, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670047
Location3280 Joe Battle BlvdEl Paso, TX 79938 · El Paso County
Emergency services Birthing friendly

The Hospitals Of Providence Transmountain Campus

Acute Care Hospitals · El Paso, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number670120
Location2000 Transmountain RdEl Paso, TX 79911 · El Paso County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79925 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
78%196 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
25%134 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%541 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%96 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
88%493 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
23%489 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
62%493 patients3/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
3%493 patients
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.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims2,160 services$0.29 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier11 claims11 services$17.20 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 9

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

EL PASO ORTHOPAEDIC ASSOCIATES
Orthopaedic Surgery
10201 GATEWAY BLVD W, #201
EL PASO, TX 79925
El Paso County (915) 595-2700
ANTONIO DAVALOS,M.D,,P.A.
Legal Medicine
10201 GATEWAY BLVD W, SUITE 410
EL PASO, TX 79925
El Paso County (915) 591-4467
THN PHYSICIANS ASSOCIATION INC
Obstetrics & Gynecology
10201 GATEWAY BLVD W, STE 200
EL PASO, TX 79925
El Paso County (915) 599-9750
MANUEL D LOPEZ MD PA
Internal Medicine (Nephrology)
10201 GATEWAY BLVD W, STE 210
EL PASO, TX 79925
El Paso County (915) 591-2922
FREDERICK E HARLASS MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
10201 GATEWAY BLVD W, STE 330
EL PASO, TX 79925
El Paso County (915) 593-9381
GLORIA CLARK, MD PA
Obstetrics & Gynecology
10201 GATEWAY BLVD W, SUITE 400
EL PASO, TX 79925
El Paso County (915) 598-7900
ANGELO ROMAGOSA, MD, PA
Physical Medicine & Rehabilitation
10201 GATEWAY BLVD W, STE 110
EL PASO, TX 79925
El Paso County (915) 351-6102
NEIL ANTHONY GRIESHOP M.D.
Surgery (Trauma Surgery)
10201 GATEWAY BLVD W, SUITE 130
EL PASO, TX 79925
El Paso County (915) 595-9000

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 Manuel Lopez's NPI number?

The NPI number for Manuel Lopez is 1942265533. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Manuel Lopez located?

Manuel Lopez practices at 10201 Gateway Blvd W #210, El Paso, TX 79925. The listed phone number is (915) 591-2922.

What is Manuel Lopez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Manuel Lopez enrolled in Medicare?

Yes. Manuel 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 Manuel Lopez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Manuel 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 Manuel Lopez affiliated with any hospitals?

According to CMS data, Manuel Lopez is affiliated with Las Palmas Medical Center A Campus Of Lpds Healthc, Sierra Medical Center, The Hospitals Of Providence - East Campus and The Hospitals Of Providence Transmountain Campus.

When was this NPI record last updated?

The NPPES record for Manuel Lopez was last updated on January 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.