JOSEPH JULIAN LOPEZ MD NPI 1992753016
Internal Medicine - Gastroenterology in Macclenny, FL
About JOSEPH JULIAN LOPEZ MD
Joseph Lopez is an internist established in Macclenny, Florida and his medical specialization is Internal Medicine with a focus in gastroenterology . The healthcare provider is registered in the NPI registry with number 1992753016 assigned on May 2006. The practitioner's primary taxonomy code is 207RG0100X with license number ME 123793 (FL). The provider is registered as an individual and his NPI record was last updated 7 years ago.
| NPI | 1992753016 |
| Provider Name | JOSEPH JULIAN LOPEZ MD |
| Location Address | 159 N 3RD ST MACCLENNY, FL 32063 |
| Location Phone | (904) 259-3151 |
| Mailing Address | 159 N 3RD ST MACCLENNY, FL 32063 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | Yes |
| Enumeration Date | 05-04-2006 |
| Last Update Date | 08-08-2016 |
An internist like Joseph Lopez is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Joseph Lopez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..
Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207RG0100X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Gastroenterology |
| License No. | ME 123793 |
| License State | FL |
| Taxonomy Description | 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. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Blue Cross Blue Shield
- Medicaid
- Medicare
- Railroad Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
159 N 3RD ST
MACCLENNY, FL
ZIP 32063
Phone: (904) 259-3151
Mailing Address
159 N 3RD ST
MACCLENNY, FL
ZIP 32063
Phone: (904) 259-3151
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as Medicare providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in the Medicare program need to enroll in PECOS with their NPI number to avoid denied claims.
| Registered in PECOS? | Yes |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order or refer Durable Medical Equipment (DMEPOS) | Yes |
| Eligible order r refer Home Health Agency (HHA) | Yes |
| Eligible order r refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 32063 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $58.4 | $178.79 | $135.26 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.6 | $44.69 | $33.81 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $17.74 | $145.28 | $103.76 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.43 | $36.32 | $25.94 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology | 6073 | NV | No |
Taxonomy Description: 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. | |||||||
| 2 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology | 4301097716 | MI | No |
Taxonomy Description: 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. | |||||||
| 3 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology | 01068725A | IN | No |
Taxonomy Description: 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. | |||||||
| 4 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology | 036.126463 | IL | No |
Taxonomy Description: 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. | |||||||
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100010704 | OTHER (01) | NV | RR MEDICARE |
| P01552787 | OTHER (01) | FL | RR MEDICARE |
| II576Z | MEDICARE PIN (08) | FL | |
| 1992753016 | MEDICARE NSC (07) | NV | |
| KK9HW | OTHER (01) | FL | BCBS |
| D87512 | MEDICARE UPIN (02) | NV | |
| 015372200 | MEDICAID (05) | FL | |
| 002019037 | MEDICAID (05) | NV | |
| V104043 | MEDICARE PIN (08) | NV | |
| NV0397 | OTHER (01) | NV | BCBS ID |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 9 | 2 | 7 | 5 | 3 | 0 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 18 | 2 | 14 | 5 | 6 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 8 + 2 + 1 + 4 + 5 + 6 + 0 + 2 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1992753016 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1770544777 | MARK HARDIN DO Individual | Family Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-7815 |
| 1194787671 | COMP MED INC. Organization | Family Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-7185 |
| 1184682049 | DR. AHMED YOUSIF ABDELMAGID M.D. Individual | Emergency Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1467401380 | CRANE EMERGENCY PHYSICIANS Organization | Emergency Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1245283357 | DR. DENNIS PETER SORRESSO M.D. Individual | Internal Medicine (Sleep Medicine) | 159 N 3RD ST MACCLENNY, FL 32063 (904) 465-3183 |
| 1952322125 | DR. PAUL JARCZYK MD Individual | Emergency Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1003009291 | BAKER COMMUNITY MEDICAL PRACTICE INC Organization | Clinic/Center | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1366628679 | JOHN J COLEMAN DPM Organization | Podiatrist | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-5277 |
| 1619137874 | BAKER EMERGENCY GROUP LLC Organization | Emergency Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1346494556 | PETER C. JANSEN MD Organization | Family Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-7815 |
| 1174761613 | BAKER COUNTY HOSPITAL AUTHORITY Organization | Skilled Nursing Facility | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1255630554 | WESTLAKE EMERGENCY MEDICAL ASSOCIATES & CONSULTANTS, LLC Organization | Emergency Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1922026061 | DR. PATRICIA F WHITE DO Individual | Emergency Medicine | 159 N 3RD ST ED FRASER MEMORIAL HOSPITAL MACCLENNY, FL 32063 (904) 259-3151 |
| 1922372788 | KYLE MONROE KNABB DO Individual | Internal Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-7815 |
| 1730287152 | DR. PATRICIA A. JONES MD Individual | Family Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-7815 |
| 1831594977 | BAKER COUNTY MEDICAL SERVICES INC. Organization | Skilled Nursing Facility | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1023423829 | MARCHETA CREWS ARNP Individual | Nurse Practitioner (Family) | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1902257223 | KERIE-ANN LAWRENCE ARNP Individual | Nurse Practitioner (Women's Health) | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1043755069 | LINDA LOUISE HEILMAN ARNP Individual | Nurse Practitioner (Family) | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1457315756 | DR. JOHN JOSEPH COLEMAN DPM Individual | Podiatrist | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-5277 |
Frequently Asked Questions
What is Joseph Lopez MD NPI number?
The NPI number assigned to this healthcare provider is 1992753016, enumerated in the NPI registry as an "individual" on May 04, 2006
Where is the provider located?
The provider is located at 159 N 3rd St Macclenny, Fl 32063 and the phone number is (904) 259-3151
What is the provider specialty code?
The provider's speciality is Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology
What insurance does Joseph Lopez MD accept?
The provider might be accepting Blue Cross Blue Shield, Medicaid, Medicare and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Joseph Lopez MD registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Joseph Lopez MD?
Medicare beneficiaries should expect a typical cost of $135.26 with an average copayment of $33.81 for new patient appointments. Established patients should expect a typical charge of $103.76 and an average copayment of 25.94. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
This NPI record was last updated on May 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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