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ERIC MARK JAURIGUE LOPEZ
NPI 1942543954
Internal Medicine - Nephrology in Hagerstown, MD

Active since March 28, 2013PECOS EnrolledAccepts Medicare Assignment
80.23/100
CMS Quality Rating
12931 OAK HILL AVE, HAGERSTOWN, MD 21742(301) 797-9600 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eric Mark Jaurigue Lopez NPPES

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

ERIC MARK JAURIGUE LOPEZ (NPI 1942543954) is an individual nephrology provider in Hagerstown, Maryland, licensed in Maryland (D0089958) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and maintains a secondary practice location in Hershey.

NPPES Registry Identity

NPI1942543954
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameERIC MARK JAURIGUE LOPEZ
Location Address12931 OAK HILL AVEHagerstown, MD 21742-2914
Mailing Address12931 Oak Hill AveHagerstown, MD 21742-2914 · (301) 797-9600
Phone(301) 797-9600
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2013
Enumeration DateMarch 28, 2013
Last NPPES UpdateSeptember 16, 2020
NPPES CertifiedSeptember 16, 2020
✔ NPI 1942543954 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 MD · D0089958
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.
12931 OAK HILL AVE, Hagerstown, MD 21742
Open in Google Maps ↗

Secondary Practice Location 1

Location 1500 University Dr, MC H085Hershey, PA 17033-2360 · Phone (717) 531-8603

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Eric Mark Jaurigue 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 ID3577852771
PECOS Enrollment IDI20171202000355, I20200818001857
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 Reassignments

3

Medicare enrollment records show Eric Mark Lopez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Otto Roza M.D., P.A.
Same address
Nephrology
12931 OAK HILL AVE
Hagerstown, MD 21742
  • Reassigned Medicare billing, Maryland and Pennsylvania enrollments
  • Medicare enrollment name: Otto Roza MD PA
  • 12 clinicians in this Medicare group
NPI 1548256811 (301) 797-9600
Spring Mills Medical Center
14 mi
Pediatrics
1179 T J JACKSON DR
Falling Waters, WV 25419
  • Reassigned Medicare billing, West Virginia enrollment
  • Medicare enrollment name: West Virginia University Medical Corporation
  • 2,471 clinicians in this Medicare group
NPI 1235489931 (304) 820-1031
Hospitalist Medicine Physicians Of West Virginia, PLLC
163 mi
Internal Medicine
2000 EOFF ST
Wheeling, WV 26003
  • Reassigned Medicare billing, West Virginia enrollment
  • 193 clinicians in this Medicare group
NPI 1649575101 (304) 234-0123

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 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.

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.
189 services116 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.
81 services81 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.
57 services57 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.
47 services33 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.
32 services22 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511319
Location300 South Preston StreetRanson, WV 25438 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21742 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

80.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.17
Promoting Interoperability100
Improvement Activities40
Cost56.34

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
97%100 patients4/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 8

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

KHETISUDA SUVARNASUDDHI M.D.
Internal Medicine (Nephrology)
12931 OAK HILL AVE
HAGERSTOWN, MD 21742
Washington County (301) 797-9600
ANWAR IQBAL MD
Internal Medicine (Nephrology)
12931 OAK HILL AVE
HAGERSTOWN, MD 21742
Washington County (301) 797-9600
ELI ROZA MD
Internal Medicine (Nephrology)
12931 OAK HILL AVE
HAGERSTOWN, MD 21742
Washington County (301) 797-9600
KIMBERLY ANNE GAILMARD APRN
Nurse Practitioner
12931 OAK HILL AVE
HAGERSTOWN, MD 21742
Washington County (301) 797-9600
DR. PADMAJA KOLACHANA M.D.
Internal Medicine (Nephrology)
12931 OAK HILL AVE
HAGERSTOWN, MD 21742
Washington County (301) 797-9600
MEADOW DIALYSIS FACILITY, INC.
Clinic/Center
12931 OAK HILL AVE
HAGERSTOWN, MD 21742
Washington County (301) 797-2311
OTTO ROZA M.D., P.A.
Internal Medicine (Nephrology)
12931 OAK HILL AVE
HAGERSTOWN, MD 21742
Washington County (301) 797-9600
BIO-MEDICAL APPLICATIONS OF MARYLAND, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
12931 OAK HILL AVE
HAGERSTOWN, MD 21742
Washington County (301) 797-2311

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 Eric Mark Lopez's NPI number?

The NPI number for Eric Mark Lopez is 1942543954. It was assigned to this individual provider in the NPPES registry on March 28, 2013.

Where is Eric Mark Lopez located?

Eric Mark Lopez practices at 12931 Oak Hill Ave, Hagerstown, MD 21742. The listed phone number is (301) 797-9600.

What is Eric Mark Lopez's specialty?

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

Is Eric Mark Lopez enrolled in Medicare?

Yes. Eric Mark 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.

Which organizations bill Medicare for Eric Mark Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Mark Lopez reassigns Medicare benefits to 3 organizations: Otto Roza M.D., P.A. (Hagerstown, MD), Spring Mills Medical Center (Falling Waters, WV) and Hospitalist Medicine Physicians Of West Virginia, PLLC (Wheeling, WV). Each 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 Eric Mark Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric Mark Lopez accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Eric Mark 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 Eric Mark Lopez affiliated with any hospitals?

According to CMS data, Eric Mark Lopez is affiliated with Berkeley Medical Center and Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Eric Mark Lopez was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.