Mark Lopez, MD
NPI 1053420257 · Pediatric Emergency Medicine (Pediatrics) Physician · Augusta, GA
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Lopez, MD is a Pediatric Emergency Medicine (Pediatrics) Physician provider in Augusta, GA (NPI 1053420257).
Provider details
- NPI number
- 1053420257
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 049055 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
215 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 111 | $177 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 42 | $8 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 40 | $122 |
| Critical Care, First 30-74 Minutes99291 | 22 | $213 |
Typical Medicare-allowed amounts for these services range $8–$213 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2023-11-30
- Certified
- 2023-11-30
Frequently asked questions
- What is Mark Lopez's NPI number?
- Mark Lopez's National Provider Identifier (NPI) is 1053420257, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Lopez's specialty?
- Mark Lopez is listed in the NPPES registry with a primary specialty of Pediatric Emergency Medicine (Pediatrics) Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Lopez located?
- Mark Lopez's practice location on file with NPPES is 1120 15th St, Augusta, GA 30912-0004.
- What is Mark Lopez's phone number?
- The practice phone number listed in the NPPES registry for Mark Lopez is (706) 721-4951.
- Does Mark Lopez accept Medicare?
- Mark Lopez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Lopez's NPI active?
- Yes — Mark Lopez's NPI (1053420257) is active in the NPPES registry as of the last update on 2023-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.