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HECTOR M LOPEZ MD
NPI 1952389876
Family Medicine in Greenfield, WI

Active since January 03, 2006PECOS EnrolledAccepts Medicare Assignment
4931 S 27TH ST, SUITE 200, GREENFIELD, WI 53221(414) 546-3400(414) 546-3500 Get Directions Write a Review

NPPES record last updated: March 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hector M Lopez Md NPPES

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

HECTOR M LOPEZ MD (NPI 1952389876) is an individual family medicine provider in Greenfield, Wisconsin, licensed in Wisconsin (33647) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension St Francis Hospital, and is a graduate of University Of Puerto Rico School Of Medicine (1990).

NPPES Registry Identity

NPI1952389876
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameHECTOR M LOPEZCredential: MD
Location Address4931 S 27TH ST, SUITE 200Greenfield, WI 53221-2652
Mailing Address4931 S 27th St, Suite 200Greenfield, WI 53221-2652 · (414) 546-3400 · Fax (414) 546-3500
Phone(414) 546-3400
Fax(414) 546-3500
Sole ProprietorYes
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1990
Enumeration DateJanuary 3, 2006
Last NPPES UpdateMarch 5, 2012
✔ NPI 1952389876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 33647
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.
4931 S 27TH ST, Greenfield, WI 53221
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Other Identifiers 4

Medicaid31944500WI
Medicaid392004651WI
Medicare UPINF63327
Medicare ID-Type Unspecified000101903WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, UnitedHealthcare.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

Hector M 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 ID1456343458
PECOS Enrollment IDI20040406000824
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.

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.
117 services48 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.
43 services25 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.
28 services28 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.
27 services27 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.
24 services24 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.
21 services18 patients

Hospital Affiliations CMS Care Compare

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

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53221 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers19 claims57 services$5.96 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers30 claims30 services$189.84 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.

MILWAUKEE FAMILY PRACTICE SC
Family Medicine
4931 S 27TH ST, STE 200
GREENFIELD, WI 53221
Milwaukee County (414) 546-3400
MAURICIO TOVAR MD SC
Obstetrics & Gynecology
4931 S 27TH ST, SUITE 100
GREENFIELD, WI 53221
Milwaukee County (414) 281-9533
DR. MANAL A DAHCHA PHARMD
Pharmacist
4931 S 27TH ST
MILWAUKEE, WI 53221
Milwaukee County (414) 817-6666
HEBA QABAJA
Pharmacist
4931 S 27TH ST
MILWAUKEE, WI 53221
Milwaukee County (414) 817-6666
ELITE EXTREMITY MRI OF WISCONSIN, LLC
Specialist
4931 S 27TH ST
MILWAUKEE, WI 53221
Milwaukee County (414) 249-3250
MARTHA TRUETTNER
Pharmacist
4931 S 27TH ST
MILWAUKEE, WI 53221
Milwaukee County (414) 817-6666
HOPE M KELLING FNP-C, APNP
Nurse Practitioner (Family)
4931 S 27TH ST
GREENFIELD, WI 53221
Milwaukee County (414) 281-9533
DR. RUBEN F LEWIN MD
Internal Medicine (Cardiovascular Disease)
4931 S 27TH ST, STE 400
GREENFIELD, WI 53221
Milwaukee County (414) 672-7200

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 Hector Lopez's NPI number?

The NPI number for Hector Lopez is 1952389876. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Hector Lopez located?

Hector Lopez practices at 4931 S 27th St Suite 200, Greenfield, WI 53221. The listed phone number is (414) 546-3400.

What is Hector Lopez's specialty?

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

Is Hector Lopez enrolled in Medicare?

Yes. Hector 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 Hector Lopez accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Hector 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 Hector Lopez affiliated with any hospitals?

According to CMS data, Hector Lopez is affiliated with Ascension St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Hector Lopez was last updated on March 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.