BENNY LOPEZ
NPI 1952855777
Physician Assistant in Lansing, MI

Active since August 10, 2016PECOS EnrolledAccepts Medicare Assignment
1200 E MICHIGAN AVE STE 460, LANSING, MI 48912(517) 364-5490(517) 364-5499 Get Directions Write a Review

NPPES record last updated: August 10, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Benny Lopez NPPES

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

BENNY LOPEZ (NPI 1952855777) is an individual physician assistant in Lansing, Michigan and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Sparrow Carson Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1952855777
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBENNY LOPEZ
Location Address1200 E MICHIGAN AVE STE 460Lansing, MI 48912-1897
Mailing AddressPo Box 13008Lansing, MI 48901-3008 · (517) 364-6253
Fax(517) 364-5499
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 10, 2016
NPI 1952855777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1200 E MICHIGAN AVE STE 460, Lansing, MI 48912

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

Benny 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 ID9032497326
PECOS Enrollment IDI20161020000450
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 3

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 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.
120 services107 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
31 services30 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients

Hospital Affiliations CMS Care Compare 4

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

Sparrow Carson Hospital

Acute Care Hospitals · Carson City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230208
Location406 East Elm StCarson City, MI 48811 · Montcalm County
Emergency services

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Sparrow Clinton Hospital

Critical Access Hospitals · Saint Johns, MI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number231326
Location805 S OaklandSaint Johns, MI 48879 · Clinton County
Emergency services

Sparrow Eaton Hospital

Critical Access Hospitals · Charlotte, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231327
Location321 E Harris StreetCharlotte, MI 48813 · Eaton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48912 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Dietitian, Registered
1200 E MICHIGAN AVE STE 460
LANSING, MI 48912
Social Worker (Clinical)
1200 E MICHIGAN AVE STE 460
LANSING, MI 48912
General Practice
1200 E MICHIGAN AVE STE 460
LANSING, MI 48912
Pediatrics
1200 E MICHIGAN AVE STE 460
LANSING, MI 48912
Nurse Practitioner (Family)
1200 E MICHIGAN AVE STE 460
LANSING, MI 48912

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 Benny Lopez's NPI number?

The NPI number for Benny Lopez is 1952855777. It was assigned to this individual provider in the NPPES registry on August 10, 2016.

Where is Benny Lopez located?

Benny Lopez practices at 1200 E Michigan Ave Ste 460, Lansing, MI 48912. The listed phone number is (517) 364-5490.

What is Benny Lopez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Benny Lopez enrolled in Medicare?

Yes. Benny 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 Benny Lopez accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Benny 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 Benny Lopez affiliated with any hospitals?

According to CMS data, Benny Lopez is affiliated with Sparrow Carson Hospital, Edward W Sparrow Hospital, Sparrow Clinton Hospital and Sparrow Eaton Hospital.

When was this NPI record last updated?

The NPPES record for Benny Lopez was last updated on August 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.